Provider Demographics
NPI:1518530898
Name:DAKMEN HOME HEALTHCARE AGENCY LLC
Entity Type:Organization
Organization Name:DAKMEN HOME HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:774-253-2935
Mailing Address - Street 1:7600 N INGRAM AVE STE 224
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-5824
Mailing Address - Country:US
Mailing Address - Phone:559-478-4270
Mailing Address - Fax:
Practice Address - Street 1:7600 N INGRAM AVE STE 224
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-5824
Practice Address - Country:US
Practice Address - Phone:559-478-4270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health