Provider Demographics
NPI:1639976269
Name:EMMANUEL, YOLANDE
Entity type:Individual
Prefix:
First Name:YOLANDE
Middle Name:
Last Name:EMMANUEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-2720
Mailing Address - Country:US
Mailing Address - Phone:508-332-2601
Mailing Address - Fax:
Practice Address - Street 1:111 MAPLE ST
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-2720
Practice Address - Country:US
Practice Address - Phone:508-332-2601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health