Provider Demographics
NPI:1497386379
Name:DIGNITY AT HOME SENIOR CARE LLC
Entity Type:Organization
Organization Name:DIGNITY AT HOME SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:POYNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-423-5586
Mailing Address - Street 1:9701 APOLLO DR STE 301
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4790
Mailing Address - Country:US
Mailing Address - Phone:240-423-5586
Mailing Address - Fax:
Practice Address - Street 1:9701 APOLLO DR STE 301
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-4790
Practice Address - Country:US
Practice Address - Phone:240-423-5586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care