Provider Demographics
NPI:1437930781
Name:DIGNITY WELLNESS CARE LLC
Entity Type:Organization
Organization Name:DIGNITY WELLNESS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAXWELL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEDE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-728-8326
Mailing Address - Street 1:430 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1521
Mailing Address - Country:US
Mailing Address - Phone:978-728-8326
Mailing Address - Fax:
Practice Address - Street 1:430 MAPLE ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1521
Practice Address - Country:US
Practice Address - Phone:978-728-8326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health