Provider Demographics
NPI:1407559065
Name:HILL, RONALD DARNELL
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:DARNELL
Last Name:HILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 RAYNOLDS PL SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44707-4365
Mailing Address - Country:US
Mailing Address - Phone:725-910-5244
Mailing Address - Fax:
Practice Address - Street 1:723 RAYNOLDS PL SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44707-4365
Practice Address - Country:US
Practice Address - Phone:725-910-5244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTL369154374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide