Provider Demographics
NPI:1306520994
Name:HUNT, AMBER TREVAE (HHA)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:TREVAE
Last Name:HUNT
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4116 HERON BLVD
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46582-6309
Mailing Address - Country:US
Mailing Address - Phone:313-657-1140
Mailing Address - Fax:
Practice Address - Street 1:4116 HERON BLVD
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46582-6309
Practice Address - Country:US
Practice Address - Phone:313-657-1140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health