Provider Demographics
NPI:1780442186
Name:WOOLF, BREE
Entity type:Individual
Prefix:
First Name:BREE
Middle Name:
Last Name:WOOLF
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 E RIDDLE AVE
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-3309
Mailing Address - Country:US
Mailing Address - Phone:724-464-4227
Mailing Address - Fax:
Practice Address - Street 1:737 E RIDDLE AVE
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3309
Practice Address - Country:US
Practice Address - Phone:724-464-4227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion
No172A00000XOther Service ProvidersDriver
No172V00000XOther Service ProvidersCommunity Health Worker
No253Z00000XAgenciesIn Home Supportive Care