Provider Demographics
NPI:1699355362
Name:SWAINE, MOLLY SUSAN
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:SUSAN
Last Name:SWAINE
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 1:721 QUAILWOODS DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-6909
Mailing Address - Country:US
Mailing Address - Phone:513-503-6364
Mailing Address - Fax:
Practice Address - Street 1:721 QUAILWOODS DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-6909
Practice Address - Country:US
Practice Address - Phone:513-503-6364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care