Provider Demographics
NPI:1306197074
Name:DESTINY CARE SERVICES, INC.
Entity Type:Organization
Organization Name:DESTINY CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BLAISE
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:MVOA OLAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:614-271-2490
Mailing Address - Street 1:7083 WEURFUL DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8436
Mailing Address - Country:US
Mailing Address - Phone:614-271-2490
Mailing Address - Fax:614-321-6080
Practice Address - Street 1:7083 WEURFUL DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8436
Practice Address - Country:US
Practice Address - Phone:614-271-2490
Practice Address - Fax:614-321-6080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care