Provider Demographics
NPI:1679370282
Name:MCDANIEL, RACHEL DIANE
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:DIANE
Last Name:MCDANIEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408-1426
Mailing Address - Country:US
Mailing Address - Phone:330-719-4302
Mailing Address - Fax:
Practice Address - Street 1:212 JAMES ST
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:OH
Practice Address - Zip Code:44408-1426
Practice Address - Country:US
Practice Address - Phone:330-719-4302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health