Provider Demographics
NPI:1386497980
Name:MANESS, DARLENE J
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:J
Last Name:MANESS
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 1:415 SANDTRAP CIR
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-4899
Mailing Address - Country:US
Mailing Address - Phone:440-667-8926
Mailing Address - Fax:
Practice Address - Street 1:415 SANDTRAP CIR
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-4899
Practice Address - Country:US
Practice Address - Phone:440-667-8926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide