Provider Demographics
NPI:1962129478
Name:SWINEHART, HOLLY DAWN
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:DAWN
Last Name:SWINEHART
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 1:464 STETLER AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-2547
Mailing Address - Country:US
Mailing Address - Phone:330-208-6991
Mailing Address - Fax:
Practice Address - Street 1:464 STETLER AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-2547
Practice Address - Country:US
Practice Address - Phone:330-208-6991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No374U00000XNursing Service Related ProvidersHome Health Aide