Healthcare Provider Details

I. General information

NPI: 1043148604
Provider Name (Legal Business Name): DENIELLE NEAL
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2028 ADAMS CT
PERRYSBURG OH
43551-5817
US

IV. Provider business mailing address

2028 ADAMS CT
PERRYSBURG OH
43551-5817
US

V. Phone/Fax

Practice location:
  • Phone: 419-351-0044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: