Provider Demographics
NPI:1629225438
Name:DUSOMA HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:DUSOMA HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIGOLUM
Authorized Official - Middle Name:G
Authorized Official - Last Name:NWAOKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-965-9246
Mailing Address - Street 1:6238 ARBOR GLEN CT
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5946
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6238 ARBOR GLEN CT
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-5946
Practice Address - Country:US
Practice Address - Phone:216-965-9246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health