ANGEL DIANE WALLACE NPI 1053144378

NPI Information

  • NPI: 1053144378
  • Provider Name: ANGEL DIANE WALLACE
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 366 SUZANNE DR
    KENT, OH
    ZIP 44240
  • Phone: (270) 784-0144

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NPI Details

Angel Diane Wallace is a day training habilitation specialist in Kent, OH. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Angel Diane Wallace NPI is 1053144378. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

366 SUZANNE DR
KENT, OH
ZIP 44240-932
Phone: (270) 784-0144

The enumeration date for this NPI number is 8/22/2024 and was last updated on 8/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1373H00000XDay Training/Habilitation SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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