Healthcare Provider Details

I. General information

NPI: 1699371864
Provider Name (Legal Business Name): FREQUENCY HOME HEARING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2020
Last Update Date: 12/11/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6106 W MEADOW FARM LN
LORAIN OH
44053-4361
US

IV. Provider business mailing address

6106 W MEADOW FARM LN
LORAIN OH
44053-4361
US

V. Phone/Fax

Practice location:
  • Phone: 440-370-0332
  • Fax:
Mailing address:
  • Phone: 440-370-0332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DANA GUERRERO
Title or Position: OWNER
Credential:
Phone: 440-370-0332