Provider Demographics
NPI:1306373246
Name:DOBSON HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:DOBSON HOME HEALTH SERVICES, LLC
Other - Org Name:DOBSON HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:AHAMUEFULE
Authorized Official - Last Name:DURU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-918-1633
Mailing Address - Street 1:8040 ALONDRA BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-4355
Mailing Address - Country:US
Mailing Address - Phone:310-918-1633
Mailing Address - Fax:310-341-2680
Practice Address - Street 1:8040 ALONDRA BLVD STE C
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-4355
Practice Address - Country:US
Practice Address - Phone:310-918-1633
Practice Address - Fax:310-341-2680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health