Provider Demographics
NPI:1225808504
Name:WASHINGTON, YONAI ROSE
Entity Type:Individual
Prefix:
First Name:YONAI
Middle Name:ROSE
Last Name:WASHINGTON
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 1:870 OLD COACH RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-1337
Mailing Address - Country:US
Mailing Address - Phone:614-290-8080
Mailing Address - Fax:
Practice Address - Street 1:870 OLD COACH RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-1337
Practice Address - Country:US
Practice Address - Phone:614-290-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide