Individual
DANIELLE TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 E ARLINGTON BLVD STE A, GREENVILLE, NC 27858-5767
(252) 231-5501
Mailing address
1440 E ARLINGTON BLVD STE A, GREENVILLE, NC 27858-5767
(252) 231-5501
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
02/10/2025
Last updated
07/10/2026
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