Provider Demographics
NPI:1316702780
Name:LOGAN, DEVONAE DARSHELL (HHA)
Entity type:Individual
Prefix:
First Name:DEVONAE
Middle Name:DARSHELL
Last Name:LOGAN
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 1:539 WILDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-3037
Mailing Address - Country:US
Mailing Address - Phone:330-573-7486
Mailing Address - Fax:
Practice Address - Street 1:539 WILDWOOD AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-3037
Practice Address - Country:US
Practice Address - Phone:330-573-7486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health