Provider Demographics
NPI:1023833795
Name:TIMMS, OLIVIA
Entity type:Individual
Prefix:MISS
First Name:OLIVIA
Middle Name:
Last Name:TIMMS
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 1:2835 RIVERVIEW ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-9786
Mailing Address - Country:US
Mailing Address - Phone:330-807-4635
Mailing Address - Fax:
Practice Address - Street 1:2835 RIVERVIEW ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-9786
Practice Address - Country:US
Practice Address - Phone:330-807-4635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide