Provider Demographics
NPI:1821267006
Name:DANIELS, DARYL L JR (MHPP)
Entity Type:Individual
Prefix:
First Name:DARYL
Middle Name:L
Last Name:DANIELS
Suffix:JR
Gender:M
Credentials:MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 NORTH CHERRY
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:AR
Mailing Address - Zip Code:71646
Mailing Address - Country:US
Mailing Address - Phone:870-853-4100
Mailing Address - Fax:870-853-4105
Practice Address - Street 1:101 NORTH CHERRY
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:AR
Practice Address - Zip Code:71646
Practice Address - Country:US
Practice Address - Phone:870-853-4100
Practice Address - Fax:870-853-4105
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator