Provider Demographics
NPI:1467191106
Name:ALLEN, SAMANTHA R (HHA)
Entity Type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:R
Last Name:ALLEN
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 LAUREL RD APT 313
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-3440
Mailing Address - Country:US
Mailing Address - Phone:330-421-3467
Mailing Address - Fax:
Practice Address - Street 1:4417 LAUREL RD APT 313
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-3440
Practice Address - Country:US
Practice Address - Phone:330-421-3467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty