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NPI Code Detail

MEDICARE: HANNAH RUTH DAY

MEDICARE: HANNAH RUTH DAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2104100000XSocial Worker

General Provider Information

NPI Number : 1821635988
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH RUTH DAY
Provider Business Mailing Address
First Line : 4461 MELLINGER RD
Second Line :
City : CANFIELD
State : OH
Zip : 44406-9324
Country : US
Telephone Number : 330-978-2563
Fax Number : 330-678-3677
Provider Business Practice Location Address
First Line : 1716 NORTH RD SE
Second Line :
City : WARREN
State : OH
Zip : 44484-2907
Country : US
Telephone Number : 330-539-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2019
Last Update Date : 09/24/2024

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