Provider Demographics
NPI:1548063985
Name:MANNING, DANYELL R
Entity type:Individual
Prefix:
First Name:DANYELL
Middle Name:R
Last Name:MANNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4644 FORSYTHE AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-3209
Mailing Address - Country:US
Mailing Address - Phone:937-765-3002
Mailing Address - Fax:
Practice Address - Street 1:4644 FORSYTHE AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-3209
Practice Address - Country:US
Practice Address - Phone:937-765-3002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide