Provider Demographics
NPI:1164230421
Name:MY BROTHERS'S KEEPERS
Entity type:Organization
Organization Name:MY BROTHERS'S KEEPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-207-7682
Mailing Address - Street 1:1961 FIRLAWN DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-3519
Mailing Address - Country:US
Mailing Address - Phone:567-207-7682
Mailing Address - Fax:
Practice Address - Street 1:1961 FIRLAWN DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-3519
Practice Address - Country:US
Practice Address - Phone:567-207-7682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care