Provider Demographics
NPI:1033674577
Name:DGA GARDENS HOME HEALTH CORP.
Entity Type:Organization
Organization Name:DGA GARDENS HOME HEALTH CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DACHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-303-0949
Mailing Address - Street 1:9764 GARDENS EAST DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4915
Mailing Address - Country:US
Mailing Address - Phone:561-303-0949
Mailing Address - Fax:
Practice Address - Street 1:9764 GARDENS EAST DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4915
Practice Address - Country:US
Practice Address - Phone:561-303-0949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health