SearchOhioMental Illness Intermediate Care Facility

Antrionna Cavanaugh

NPI 1053029660 · on the registry since 2022 · sole proprietor

Practice

Address
1800 N Mccord Rd Apt 45
Toledo, OH 43615
Phone
(419) 764-7668
Organisation at this address
Legacy Life Family Support Professionals Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Mental Illness Intermediate Care Facility
310500000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio