Provider Demographics
NPI:1407512809
Name:GRANT, DARNEICE
Entity Type:Individual
Prefix:
First Name:DARNEICE
Middle Name:
Last Name:GRANT
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 1:1111 INDEPENDENCE AVE APT 2626
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-1896
Mailing Address - Country:US
Mailing Address - Phone:330-860-3088
Mailing Address - Fax:
Practice Address - Street 1:1111 INDEPENDENCE AVE APT 2626
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-1896
Practice Address - Country:US
Practice Address - Phone:330-860-3088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker