Provider Demographics
NPI:1336994276
Name:HOSCH, DWANNA
Entity Type:Individual
Prefix:
First Name:DWANNA
Middle Name:
Last Name:HOSCH
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 1:819 BEARDSLEY ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-2245
Mailing Address - Country:US
Mailing Address - Phone:330-481-3023
Mailing Address - Fax:
Practice Address - Street 1:819 BEARDSLEY ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-2245
Practice Address - Country:US
Practice Address - Phone:330-481-3023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child