Provider Demographics
NPI:1316528136
Name:HILL, DIANE N
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:N
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 GREENHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-8384
Mailing Address - Country:US
Mailing Address - Phone:937-287-3120
Mailing Address - Fax:
Practice Address - Street 1:104 GREENHAVEN DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-8384
Practice Address - Country:US
Practice Address - Phone:937-287-3120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No251X00000XAgenciesSupports Brokerage
No347C00000XTransportation ServicesPrivate Vehicle