MEDICARE: DANIELLE BASILE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	RN176627	GA

General Provider Information

NPI Number	:	1710834056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE BASILE

Provider Business Mailing Address
First Line	:	828 COPPER MIST CT
Second Line	:
City	:	GRAYSON
State	:	GA
Zip	:	30017-1926
Country	:	US
Telephone Number	:	678-431-4928
Fax Number	:

Provider Business Practice Location Address
First Line	:	828 COPPER MIST CT
Second Line	:
City	:	GRAYSON
State	:	GA
Zip	:	30017-1926
Country	:	US
Telephone Number	:	678-431-4928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ DANIELLE BASILE ” Practice Location

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