Provider Demographics
NPI:1982247896
Name:DELANEY, MARIAH (QMHS BA)
Entity Type:Individual
Prefix:
First Name:MARIAH
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:QMHS BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3687 STATE ROUTE 125
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:OH
Mailing Address - Zip Code:45106-8551
Mailing Address - Country:US
Mailing Address - Phone:513-615-4588
Mailing Address - Fax:
Practice Address - Street 1:3687 STATE ROUTE 125
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:OH
Practice Address - Zip Code:45106-8551
Practice Address - Country:US
Practice Address - Phone:513-615-4588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-23
Last Update Date:2024-01-31
Deactivation Date:2024-01-04
Deactivation Code:
Reactivation Date:2024-01-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No171M00000XOther Service ProvidersCase Manager/Care Coordinator