Provider Demographics
NPI:1811585268
Name:GAFFNEY, GLADYS LEE
Entity Type:Individual
Prefix:MS
First Name:GLADYS
Middle Name:LEE
Last Name:GAFFNEY
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 1:82 CHAPLEN DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45426-3436
Mailing Address - Country:US
Mailing Address - Phone:937-305-4963
Mailing Address - Fax:
Practice Address - Street 1:82 CHAPLEN DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45426-3436
Practice Address - Country:US
Practice Address - Phone:937-305-4963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child