Provider / Organization | NPI | Date Certified |
---|---|---|
LATONIA MCCLENDON | 1245981745 | 2022-01-16 |
Latonia Mcclendon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1245981745. Registration indicates Latonia Mcclendon is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
Entity Type | Individual |
Provider Name | Latonia Mcclendon |
Practice Office Address | 105 HEILMAN AVE PERRYSBURG, OH US |
Practice Office Telephone | 5673124722 |
Mailing Address | 445 E DUBLIN GRANVILLE RD WORTHINGTON, OH 430853192 US |
Business Telephone | 6148443800 |
Code | Practice | License No State |
---|---|---|
171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |
2615030 | MEDICAID | OH |