Provider Demographics
NPI:1528660701
Name:TRIPLETT-BALLARD, DAAIYAH
Entity type:Individual
Prefix:
First Name:DAAIYAH
Middle Name:
Last Name:TRIPLETT-BALLARD
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 ASHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2526
Mailing Address - Country:US
Mailing Address - Phone:419-349-5486
Mailing Address - Fax:
Practice Address - Street 1:415 N MICHIGAN ST STE E
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-2722
Practice Address - Country:US
Practice Address - Phone:419-349-5486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-12
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty