Provider Demographics
NPI:1699373712
Name:DAY, PENELOPE S
Entity Type:Individual
Prefix:MS
First Name:PENELOPE
Middle Name:S
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:PO BOX 451
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43014-0451
Mailing Address - Country:US
Mailing Address - Phone:740-507-9391
Mailing Address - Fax:
Practice Address - Street 1:12424 COTTON STREET
Practice Address - Street 2:
Practice Address - City:HOWARD
Practice Address - State:OH
Practice Address - Zip Code:43028
Practice Address - Country:US
Practice Address - Phone:740-507-9391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant