Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGEL DIANE WALLACE
Active Sole ProprietorANGEL DIANE WALLACE is a Day Training/Habilitation healthcare provider located in KENT, Ohio. NPI 1053144378 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · KENT, OH
Registration Details
- NPI Number
- 1053144378
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2024 (2.0221838135404 yrs)
- Last Updated
- Aug 22, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
366 SUZANNE DRKENT, OH, 442401932Browse OH providers · Browse ZIP 44240
- Phone
- 2707840144
- Primary Specialty
-
Day Training/Habilitation
373H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.