Provider Demographics
NPI:1245810761
Name:HILL, SAVANNA PAIGE
Entity type:Individual
Prefix:MS
First Name:SAVANNA
Middle Name:PAIGE
Last Name:HILL
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 1:695 SUNNYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-1467
Mailing Address - Country:US
Mailing Address - Phone:304-373-6219
Mailing Address - Fax:
Practice Address - Street 1:5100 DARROW RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-5046
Practice Address - Country:US
Practice Address - Phone:330-655-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician