Healthcare Provider Details

I. General information

NPI: 1386400893
Provider Name (Legal Business Name): DEIA LYNN HUTCHINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 E WABASH AVE APT E8
MONTPELIER OH
43543-1945
US

IV. Provider business mailing address

202 E WABASH AVE APT E8
MONTPELIER OH
43543-1945
US

V. Phone/Fax

Practice location:
  • Phone: 419-451-0919
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: