Provider Demographics
NPI:1154137107
Name:TUMBLIN, DARCEY
Entity type:Individual
Prefix:
First Name:DARCEY
Middle Name:
Last Name:TUMBLIN
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 1:608 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:CONESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43811-7519
Mailing Address - Country:US
Mailing Address - Phone:740-208-8288
Mailing Address - Fax:
Practice Address - Street 1:608 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:CONESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43811-7519
Practice Address - Country:US
Practice Address - Phone:740-208-8288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant