Provider Demographics
NPI:1386462463
Name:ROBBINS, DIONNE (CEO)
Entity type:Individual
Prefix:
First Name:DIONNE
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:CEO
Other - Prefix:
Other - First Name:DIONNE
Other - Middle Name:
Other - Last Name:ROBBIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4105 HAMILTON SQUARE BLVD
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9084
Mailing Address - Country:US
Mailing Address - Phone:614-704-4756
Mailing Address - Fax:
Practice Address - Street 1:4105 HAMILTON SQUARE BLVD
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9084
Practice Address - Country:US
Practice Address - Phone:614-704-4756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-28
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No171M00000XOther Service ProvidersCase Manager/Care Coordinator