Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Breanna Wallace

Individual provider Home Health Aide · NPI 1629802020

MS. Breanna Wallace is a Home Health Aide in Youngstown, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

661 Manchester Ave
Youngstown, OH 44509-1711
Phone: (330) 219-6818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1629802020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address661 Manchester Ave, Youngstown, OH 44509-1711

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