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NPI Code Detail

MEDICARE: DAY ONE INTEGRATIVE SERVICES LLC.

MEDICARE: DAY ONE INTEGRATIVE SERVICES LLC.
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
1324500000XSubstance Abuse Rehabilitation Facility
2251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770102089
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAY ONE INTEGRATIVE SERVICES LLC.
Provider Business Mailing Address
First Line : 827 N MAIN ST
Second Line :
City : MARION
State : OH
Zip : 43302-1736
Country : US
Telephone Number : 740-914-5000
Fax Number : 740-914-5005
Provider Business Practice Location Address
First Line : 827 N MAIN ST
Second Line :
City : MARION
State : OH
Zip : 43302-1736
Country : US
Telephone Number : 740-914-5000
Fax Number : 740-914-5005
Authorized Official
Title or Position : OWNER
Name : NATHAN DAVENPORT
Credential :
Telephone Number : 859-620-2526
Provider Enumeration Date : 04/16/2020
Last Update Date : 06/04/2026

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Directions to “DAY ONE INTEGRATIVE SERVICES LLC. ” Practice Location

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