Healthcare Provider Details

I. General information

NPI: 1780064873
Provider Name (Legal Business Name): MS. DIAMOND HUTCHERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2015
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

643 CARLTON ST
TOLEDO OH
43609-2975
US

IV. Provider business mailing address

1212 COLLINGWOOD BLVD APT 105
TOLEDO OH
43604-8133
US

V. Phone/Fax

Practice location:
  • Phone: 419-213-0409
  • Fax:
Mailing address:
  • Phone: 419-901-3719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: