Provider Demographics
NPI:1639277296
Name:DALANDA KAWA DBA EVEREST HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:DALANDA KAWA DBA EVEREST HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DALANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAWA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:972-489-0139
Mailing Address - Street 1:922 BARD DRIVE
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040
Mailing Address - Country:US
Mailing Address - Phone:972-489-0139
Mailing Address - Fax:214-703-2999
Practice Address - Street 1:922 BARD DRIVE
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040
Practice Address - Country:US
Practice Address - Phone:972-489-0139
Practice Address - Fax:214-703-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health