Provider Demographics
NPI:1063391068
Name:DANIELS, DUANEA
Entity type:Individual
Prefix:
First Name:DUANEA
Middle Name:
Last Name:DANIELS
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 1:1700 COUNTY ROAD 24 N
Mailing Address - Street 2:
Mailing Address - City:DE GRAFF
Mailing Address - State:OH
Mailing Address - Zip Code:43318-9717
Mailing Address - Country:US
Mailing Address - Phone:937-205-9383
Mailing Address - Fax:
Practice Address - Street 1:1700 COUNTY ROAD 24 N
Practice Address - Street 2:
Practice Address - City:DE GRAFF
Practice Address - State:OH
Practice Address - Zip Code:43318-9717
Practice Address - Country:US
Practice Address - Phone:937-205-9383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care