Provider Demographics
NPI:1346067014
Name:SWENTON, KAREN GRACE
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:GRACE
Last Name:SWENTON
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 1:10011 WHIPPOORWILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44444-9255
Mailing Address - Country:US
Mailing Address - Phone:216-333-5155
Mailing Address - Fax:
Practice Address - Street 1:10011 WHIPPOORWILL RD
Practice Address - Street 2:
Practice Address - City:NEWTON FALLS
Practice Address - State:OH
Practice Address - Zip Code:44444-9255
Practice Address - Country:US
Practice Address - Phone:216-333-5155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide