Provider Demographics
NPI:1205317468
Name:DAYS, KEISHA R
Entity type:Individual
Prefix:
First Name:KEISHA
Middle Name:R
Last Name:DAYS
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 1:1600 LIBERTY PL
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-5705
Mailing Address - Country:US
Mailing Address - Phone:856-861-5448
Mailing Address - Fax:856-599-8300
Practice Address - Street 1:1600 LIBERTY PL
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-5705
Practice Address - Country:US
Practice Address - Phone:856-861-5448
Practice Address - Fax:856-599-8300
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health