Provider Demographics
NPI:1962555441
Name:GEIS, YOLONDA L
Entity type:Individual
Prefix:
First Name:YOLONDA
Middle Name:L
Last Name:GEIS
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 1:7884 N STATE ROUTE 49
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-9318
Mailing Address - Country:US
Mailing Address - Phone:937-548-0515
Mailing Address - Fax:937-548-4981
Practice Address - Street 1:7884 N STATE ROUTE 49
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-9318
Practice Address - Country:US
Practice Address - Phone:937-548-0515
Practice Address - Fax:937-548-4981
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Not Answered374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2239778Medicaid