Provider Demographics
NPI:1588219935
Name:DILLARD HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:DILLARD HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, HHA
Authorized Official - Phone:508-294-8722
Mailing Address - Street 1:20 ROCHE BROTHERS WAY # 6-273
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1030
Mailing Address - Country:US
Mailing Address - Phone:508-294-8722
Mailing Address - Fax:781-459-7799
Practice Address - Street 1:756 WASHINGTON ST STE D
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-2976
Practice Address - Country:US
Practice Address - Phone:508-294-8722
Practice Address - Fax:781-459-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care