Provider Demographics
NPI:1073863387
Name:DAC PROFESSIONAL SERVICES LTD
Entity Type:Organization
Organization Name:DAC PROFESSIONAL SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CASCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-212-6015
Mailing Address - Street 1:4669 COUNTY ROAD B
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:WI
Mailing Address - Zip Code:53575-2206
Mailing Address - Country:US
Mailing Address - Phone:608-212-6015
Mailing Address - Fax:608-835-2705
Practice Address - Street 1:4669 COUNTY ROAD B
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:WI
Practice Address - Zip Code:53575-2206
Practice Address - Country:US
Practice Address - Phone:608-212-6015
Practice Address - Fax:608-835-2705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7368730251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care