Healthcare Provider Details

I. General information

NPI: 1467026245
Provider Name (Legal Business Name): TENICE EVONNE TOWNSEND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 05/17/2021
Certification Date: 05/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 LOVERS LN
AKRON OH
44306-1928
US

IV. Provider business mailing address

717 LOVERS LN
AKRON OH
44306-1928
US

V. Phone/Fax

Practice location:
  • Phone: 330-845-0751
  • Fax:
Mailing address:
  • Phone: 330-845-0751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: