Provider Demographics
NPI:1013131978
Name:WOMER, DANYALL - (HHA)
Entity type:Individual
Prefix:MRS
First Name:DANYALL
Middle Name:-
Last Name:WOMER
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:MRS
Other - First Name:DANYAL
Other - Middle Name:-
Other - Last Name:WOMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:HHA
Mailing Address - Street 1:401 FERNWAY DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-1958
Mailing Address - Country:US
Mailing Address - Phone:513-863-1261
Mailing Address - Fax:
Practice Address - Street 1:401 FERNWAY DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-1958
Practice Address - Country:US
Practice Address - Phone:513-863-1261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2717466374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2717466OtherPROVIDER #