Provider Demographics
NPI:1518729094
Name:DAY, AYANNA M
Entity Type:Individual
Prefix:
First Name:AYANNA
Middle Name:M
Last Name:DAY
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 1:24315 KINGSTON CIR
Mailing Address - Street 2:
Mailing Address - City:FLAT ROCK
Mailing Address - State:MI
Mailing Address - Zip Code:48134-1840
Mailing Address - Country:US
Mailing Address - Phone:734-757-4759
Mailing Address - Fax:
Practice Address - Street 1:24315 KINGSTON CIRCLE
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN CHARTER TWP
Practice Address - State:MI
Practice Address - Zip Code:48134
Practice Address - Country:US
Practice Address - Phone:734-757-4759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health