Provider Demographics
NPI:1073037958
Name:DALASI'S HOUSE,LLC
Entity Type:Organization
Organization Name:DALASI'S HOUSE,LLC
Other - Org Name:DALASI'S HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DALASI
Authorized Official - Middle Name:BUNCHIE
Authorized Official - Last Name:OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-568-7344
Mailing Address - Street 1:2040 BABCOCK RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4425
Mailing Address - Country:US
Mailing Address - Phone:210-568-7344
Mailing Address - Fax:210-384-2581
Practice Address - Street 1:2040 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4425
Practice Address - Country:US
Practice Address - Phone:210-568-7344
Practice Address - Fax:210-384-2581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017522253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care