Provider Demographics
NPI:1437925294
Name:FORDE, DARCEL F
Entity type:Individual
Prefix:MRS
First Name:DARCEL
Middle Name:F
Last Name:FORDE
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 1:102 WHITCOMBE CIR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-6296
Mailing Address - Country:US
Mailing Address - Phone:256-348-1840
Mailing Address - Fax:
Practice Address - Street 1:102 WHITCOMBE CIR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-6296
Practice Address - Country:US
Practice Address - Phone:256-348-1840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula