Provider Demographics
NPI:1033594866
Name:MALONE, TRENIA (HHA)
Entity Type:Individual
Prefix:
First Name:TRENIA
Middle Name:
Last Name:MALONE
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:TRENIA
Other - Middle Name:
Other - Last Name:MALONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HHA
Mailing Address - Street 1:554 UTAH ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43605-2297
Mailing Address - Country:US
Mailing Address - Phone:419-917-5696
Mailing Address - Fax:
Practice Address - Street 1:554 UTAH ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43605-2297
Practice Address - Country:US
Practice Address - Phone:419-917-5696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide