Provider Demographics
NPI:1255905188
Name:MALONE, JANICE
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:MALONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHAELYN
Other - Middle Name:
Other - Last Name:CARE COMPANY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6094 PINE HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-5827
Mailing Address - Country:US
Mailing Address - Phone:208-866-7541
Mailing Address - Fax:
Practice Address - Street 1:6094 PINE HOLLOW DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5827
Practice Address - Country:US
Practice Address - Phone:208-866-7541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-15
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No253Z00000XAgenciesIn Home Supportive Care