Healthcare Provider Details

I. General information

NPI: 1851189187
Provider Name (Legal Business Name): DAYLESHA CORDELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAYLESHA HAMPTON

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 OLMSTEAD AVE
COLUMBUS OH
43201-3026
US

IV. Provider business mailing address

1135 OLMSTEAD AVE
COLUMBUS OH
43201-3026
US

V. Phone/Fax

Practice location:
  • Phone: 614-930-7263
  • Fax:
Mailing address:
  • Phone: 614-930-7263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: