Provider Demographics
NPI:1821567066
Name:MALONEY, DYLAN (CNA)
Entity type:Individual
Prefix:
First Name:DYLAN
Middle Name:
Last Name:MALONEY
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 AIRPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-1375
Mailing Address - Country:US
Mailing Address - Phone:251-454-6387
Mailing Address - Fax:251-650-3843
Practice Address - Street 1:1850 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-1375
Practice Address - Country:US
Practice Address - Phone:251-454-6387
Practice Address - Fax:251-650-3843
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker