Provider Demographics
NPI:1174226443
Name:HORN, ADAIRA DELORES
Entity type:Individual
Prefix:
First Name:ADAIRA
Middle Name:DELORES
Last Name:HORN
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 1:4482 GAITER LN
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-9610
Mailing Address - Country:US
Mailing Address - Phone:937-321-4285
Mailing Address - Fax:
Practice Address - Street 1:4482 GAITER LN
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-9610
Practice Address - Country:US
Practice Address - Phone:937-321-4285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)