Provider Demographics
NPI:1467197897
Name:HORTON, DELANNA MARIE
Entity Type:Individual
Prefix:
First Name:DELANNA
Middle Name:MARIE
Last Name:HORTON
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 1:2623 MELROSE AVE # AOT3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-1629
Mailing Address - Country:US
Mailing Address - Phone:513-376-3902
Mailing Address - Fax:
Practice Address - Street 1:1536 BLAIR AVE APT 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207-1468
Practice Address - Country:US
Practice Address - Phone:513-376-3902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemaker