Individual provider · Type 1 NPI

Dana Wagner, CPHT

Home Health Agency · Glen Ellen, CA

NPI number 1710260567 Active

Practice location

1055 Chauvet Rd
Glen Ellen, CA 95442-1111

Mailing address

PO Box 1111
Glen Ellen, CA 95442-1111

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

About NPI 1710260567

Dana Wagner, CPHT's National Provider Identifier is 1710260567, issued on Sep 27, 2011. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Glen Ellen, CA. The record was last updated on Sep 27, 2011.