Provider Demographics
NPI:1396374864
Name:DNA WORLD ENTERPRISES, INC.
Entity Type:Organization
Organization Name:DNA WORLD ENTERPRISES, INC.
Other - Org Name:FIRSTLIGHT HOME CARE OF RENO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-585-9843
Mailing Address - Street 1:255 W MOANA LN STE 213
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4943
Mailing Address - Country:US
Mailing Address - Phone:775-437-5800
Mailing Address - Fax:
Practice Address - Street 1:255 W MOANA LN STE 213
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4943
Practice Address - Country:US
Practice Address - Phone:818-585-9843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care