Provider Demographics
NPI:1285236935
Name:JAMES, DAVINA D
Entity type:Individual
Prefix:
First Name:DAVINA
Middle Name:D
Last Name:JAMES
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 1:615 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-2511
Mailing Address - Country:US
Mailing Address - Phone:419-979-7666
Mailing Address - Fax:
Practice Address - Street 1:615 E 4TH ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-2511
Practice Address - Country:US
Practice Address - Phone:419-979-7666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health