Provider Demographics
NPI:1346062056
Name:TORRENCE, MYEIA G
Entity type:Individual
Prefix:
First Name:MYEIA
Middle Name:G
Last Name:TORRENCE
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 1:997 CLEVELAND ST SW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-7949
Mailing Address - Country:US
Mailing Address - Phone:330-990-2338
Mailing Address - Fax:
Practice Address - Street 1:997 CLEVELAND ST SW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-7949
Practice Address - Country:US
Practice Address - Phone:330-990-2338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health