Provider Demographics
NPI:1821604034
Name:SWAIN, YOLANDA NICOLE
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:NICOLE
Last Name:SWAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:YOLANDA
Other - Middle Name:NICOLE
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:758 W POINSETTA AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43612-3246
Mailing Address - Country:US
Mailing Address - Phone:419-304-3331
Mailing Address - Fax:
Practice Address - Street 1:758 W POINSETTA AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43612-3246
Practice Address - Country:US
Practice Address - Phone:419-304-3331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant