Provider Demographics
NPI:1174314538
Name:HALEY, ROBERT DONJUAN JR
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DONJUAN
Last Name:HALEY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:DONJUAN
Other - Last Name:HALEY
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2318 WARD ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609-1651
Mailing Address - Country:US
Mailing Address - Phone:419-764-9387
Mailing Address - Fax:
Practice Address - Street 1:2318 WARD ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43609-1651
Practice Address - Country:US
Practice Address - Phone:419-764-9387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant