Provider Demographics
NPI:1689456451
Name:PALUMBO, DENISE R
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:R
Last Name:PALUMBO
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 1:3604 HELSEY FUSSELMAN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44470-9739
Mailing Address - Country:US
Mailing Address - Phone:440-636-2395
Mailing Address - Fax:
Practice Address - Street 1:3604 HELSEY FUSSELMAN RD
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:44470-9739
Practice Address - Country:US
Practice Address - Phone:440-636-2395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker