Provider Demographics
NPI:1841065414
Name:FARLEY, DAVID LEROY
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:LEROY
Last Name:FARLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6031 SYLVAN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-6001
Mailing Address - Country:US
Mailing Address - Phone:419-376-2900
Mailing Address - Fax:
Practice Address - Street 1:6031 SYLVAN RIDGE DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-6001
Practice Address - Country:US
Practice Address - Phone:419-376-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-23
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health