Healthcare Provider Details

I. General information

NPI: 1790788917
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF GTR. YOUNGSTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 E INDIANOLA AVE
YOUNGSTOWN OH
44502-2320
US

IV. Provider business mailing address

518 E INDIANOLA AVE
YOUNGSTOWN OH
44502-2320
US

V. Phone/Fax

Practice location:
  • Phone: 330-782-5606
  • Fax: 330-782-5600
Mailing address:
  • Phone: 330-782-5606
  • Fax: 330-782-5600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. SUZANNE TUCCI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 330-782-5606