Provider Demographics
NPI:1326443979
Name:DRM PRIVATE HOME HEALTHCARE PROVIDERS, LLC
Entity Type:Organization
Organization Name:DRM PRIVATE HOME HEALTHCARE PROVIDERS, LLC
Other - Org Name:GENESIS HOME HEALTHCARE PROVIDERS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RESHANE
Authorized Official - Middle Name:LIZA
Authorized Official - Last Name:LONZO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:517-882-3544
Mailing Address - Street 1:3206 S. PENSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-4733
Mailing Address - Country:US
Mailing Address - Phone:517-882-3544
Mailing Address - Fax:517-882-3525
Practice Address - Street 1:3206 S PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-4733
Practice Address - Country:US
Practice Address - Phone:517-882-3544
Practice Address - Fax:517-882-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health