Provider Demographics
NPI:1578336186
Name:HRENKO, SUSAN ELAINE
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:ELAINE
Last Name:HRENKO
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 1:5702 WHISPERING RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:OH
Mailing Address - Zip Code:43021-8050
Mailing Address - Country:US
Mailing Address - Phone:740-360-5216
Mailing Address - Fax:
Practice Address - Street 1:583 SLATE HOLLOW DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9796
Practice Address - Country:US
Practice Address - Phone:740-369-2919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child