Provider Demographics
NPI:1437663861
Name:DREAM LAND HEALTHCARE INC.
Entity Type:Organization
Organization Name:DREAM LAND HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-264-4376
Mailing Address - Street 1:3213 IH 30 STE 304
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2695
Mailing Address - Country:US
Mailing Address - Phone:469-264-4376
Mailing Address - Fax:214-594-7679
Practice Address - Street 1:3213 IH 30 STE 304
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2695
Practice Address - Country:US
Practice Address - Phone:469-264-4376
Practice Address - Fax:214-594-7679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty