Provider Demographics
NPI:1396471447
Name:BARROW, DAYANTA FELICIA
Entity type:Individual
Prefix:MS
First Name:DAYANTA
Middle Name:FELICIA
Last Name:BARROW
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 1:235 S MAITLAND AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5629
Mailing Address - Country:US
Mailing Address - Phone:321-972-8930
Mailing Address - Fax:321-972-8399
Practice Address - Street 1:235 S MAITLAND AVE STE 107
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5629
Practice Address - Country:US
Practice Address - Phone:321-972-8930
Practice Address - Fax:321-972-8399
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-29
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities