Provider Demographics
NPI:1053094029
Name:HALE DAYE, AMY R
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:R
Last Name:HALE DAYE
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 1:9925 STATE ROUTE 774
Mailing Address - Street 2:
Mailing Address - City:HAMERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45130-8401
Mailing Address - Country:US
Mailing Address - Phone:513-519-4408
Mailing Address - Fax:
Practice Address - Street 1:9925 STATE ROUTE 774
Practice Address - Street 2:
Practice Address - City:HAMERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45130-8401
Practice Address - Country:US
Practice Address - Phone:513-519-4408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide