Healthcare Provider Details

I. General information

NPI: 1932062692
Provider Name (Legal Business Name): JOANNA HOUSE II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

342 E SOUTH ST
AKRON OH
44311-2165
US

IV. Provider business mailing address

387 W BARTGES ST
AKRON OH
44307-1931
US

V. Phone/Fax

Practice location:
  • Phone: 234-678-9805
  • Fax:
Mailing address:
  • Phone: 234-678-9805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: CHEVELLE SNYDER
Title or Position: BILLING SPECIALIST
Credential:
Phone: 419-464-6907