Provider Demographics
NPI:1477006377
Name:DBRZ, LLC
Entity Type:Organization
Organization Name:DBRZ, LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-285-5155
Mailing Address - Street 1:801 TRAVELERS BLVD
Mailing Address - Street 2:SUITE A-2
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-8476
Mailing Address - Country:US
Mailing Address - Phone:843-285-5155
Mailing Address - Fax:
Practice Address - Street 1:801 TRAVELERS BLVD
Practice Address - Street 2:SUITE A-2
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-8476
Practice Address - Country:US
Practice Address - Phone:843-285-5155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCIHCP-0464253Z00000X
347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle