Provider Demographics
NPI:1487044061
Name:DEDICATED NURSING ASSOCIATES, INC
Entity Type:Organization
Organization Name:DEDICATED NURSING ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BRANCH MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHASTITY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-886-4559
Mailing Address - Street 1:228 BYERS RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-7616
Mailing Address - Country:US
Mailing Address - Phone:937-886-4559
Mailing Address - Fax:937-853-3222
Practice Address - Street 1:228 BYERS RD
Practice Address - Street 2:SUITE 103
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-7616
Practice Address - Country:US
Practice Address - Phone:937-886-4559
Practice Address - Fax:937-853-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care