Provider Demographics
NPI:1457794471
Name:DAILEY, DANIELLE (LVN)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:DAILEY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12500 SANDPIPER DR APT 62
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-6600
Mailing Address - Country:US
Mailing Address - Phone:513-488-2094
Mailing Address - Fax:
Practice Address - Street 1:12500 SANDPIPER DR APT 62
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-6600
Practice Address - Country:US
Practice Address - Phone:513-488-2094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX351304311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home