Individual
TINA HANNAHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
774 MURRAY AVE, RAVENNA, OH 44266-3443
(330) 281-1872
Mailing address
774 MURRAY AVE, RAVENNA, OH 44266-3443
(330) 281-1872
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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