Provider Demographics
NPI:1114613346
Name:DACALLC
Entity Type:Organization
Organization Name:DACALLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:JARRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-608-0421
Mailing Address - Street 1:10827 NW 81ST LN
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-6026
Mailing Address - Country:US
Mailing Address - Phone:305-608-0421
Mailing Address - Fax:
Practice Address - Street 1:10850 NW 23 ST
Practice Address - Street 2:
Practice Address - City:SWEETWATER
Practice Address - State:FL
Practice Address - Zip Code:33172
Practice Address - Country:US
Practice Address - Phone:305-608-0421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)