Provider Demographics
NPI:1316733439
Name:POOLE, DAYSHANA S
Entity type:Individual
Prefix:
First Name:DAYSHANA
Middle Name:S
Last Name:POOLE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 W WATERLOO RD APT 6
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-1538
Mailing Address - Country:US
Mailing Address - Phone:330-734-5702
Mailing Address - Fax:
Practice Address - Street 1:1247 W WATERLOO RD APT 6
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-1538
Practice Address - Country:US
Practice Address - Phone:330-734-5702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide
No372600000XNursing Service Related ProvidersAdult Companion