Provider Demographics
NPI:1760102057
Name:EGER, DANA L
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:EGER
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 1:312 S CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:MOGADORE
Mailing Address - State:OH
Mailing Address - Zip Code:44260-1468
Mailing Address - Country:US
Mailing Address - Phone:330-603-5144
Mailing Address - Fax:
Practice Address - Street 1:11779 VILLA VISTA DR NW
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-5812
Practice Address - Country:US
Practice Address - Phone:234-347-0480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide