Provider Demographics
NPI:1053647487
Name:DOUGHCO INC.
Entity Type:Organization
Organization Name:DOUGHCO INC.
Other - Org Name:COMFORT KEEPERS #386
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUGHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-841-4040
Mailing Address - Street 1:220 N. GLENOAKS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502
Mailing Address - Country:US
Mailing Address - Phone:818-841-4040
Mailing Address - Fax:818-559-6428
Practice Address - Street 1:220 N GLENOAKS BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1213
Practice Address - Country:US
Practice Address - Phone:818-841-4040
Practice Address - Fax:818-559-6428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251G00000XAgenciesHospice Care, Community Based