Provider Demographics
NPI:1730078023
Name:HALAS, NADINE
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:HALAS
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 1:13648 BROOKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKPARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-2631
Mailing Address - Country:US
Mailing Address - Phone:216-278-4228
Mailing Address - Fax:
Practice Address - Street 1:13648 BROOKDALE AVE
Practice Address - Street 2:
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-2631
Practice Address - Country:US
Practice Address - Phone:216-278-4228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services