Provider Demographics
NPI:1629450317
Name:DUNWOODY ALLIED SERVICES INC.
Entity Type:Organization
Organization Name:DUNWOODY ALLIED SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:BOYCE
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:610-359-4422
Mailing Address - Street 1:3500 WEST CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073
Mailing Address - Country:US
Mailing Address - Phone:610-359-4422
Mailing Address - Fax:610-723-4790
Practice Address - Street 1:3500 WEST CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073
Practice Address - Country:US
Practice Address - Phone:610-359-4422
Practice Address - Fax:610-723-4790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUNWOODY VILLAGE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-18
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA163WHO200X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health