Provider Demographics
NPI:1629302765
Name:DHC HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:DHC HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAWANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CENA
Authorized Official - Phone:313-255-8961
Mailing Address - Street 1:37637 FIVE MILE RD
Mailing Address - Street 2:# 370
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1543
Mailing Address - Country:US
Mailing Address - Phone:313-255-8961
Mailing Address - Fax:313-255-8962
Practice Address - Street 1:37637 FIVE MILE RD
Practice Address - Street 2:# 370
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1543
Practice Address - Country:US
Practice Address - Phone:313-255-8961
Practice Address - Fax:313-255-8962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle