Provider Demographics
NPI:1205544400
Name:OKIN, SAVANNAH JEANNETTE
Entity type:Individual
Prefix:MISS
First Name:SAVANNAH
Middle Name:JEANNETTE
Last Name:OKIN
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 1:2748 DWIGHT RD APT B
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-5033
Mailing Address - Country:US
Mailing Address - Phone:937-508-8788
Mailing Address - Fax:
Practice Address - Street 1:2748 DWIGHT RD APT B
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-5033
Practice Address - Country:US
Practice Address - Phone:937-508-8788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty