Provider Demographics
NPI:1013510882
Name:LOFTIN, DARLENE THOMAS
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:THOMAS
Last Name:LOFTIN
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 1:750 RITA DOVE LN
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2010
Mailing Address - Country:US
Mailing Address - Phone:330-384-7587
Mailing Address - Fax:
Practice Address - Street 1:750 RITA DOVE LN
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2010
Practice Address - Country:US
Practice Address - Phone:330-384-7587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide