Provider Demographics
NPI:1225257702
Name:DIXON'S HEALTH CARE EMPLOYMENT AGENCY
Entity Type:Organization
Organization Name:DIXON'S HEALTH CARE EMPLOYMENT AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SHERMAN
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-941-3143
Mailing Address - Street 1:2807 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-4168
Mailing Address - Country:US
Mailing Address - Phone:718-941-3143
Mailing Address - Fax:718-941-0068
Practice Address - Street 1:2807 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-4168
Practice Address - Country:US
Practice Address - Phone:718-941-3143
Practice Address - Fax:718-941-0068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9229L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health