Provider Demographics
NPI:1639649478
Name:KEY OF DAVID HOME CARE INC
Entity Type:Organization
Organization Name:KEY OF DAVID HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUDELE
Authorized Official - Middle Name:
Authorized Official - Last Name:OJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-948-8609
Mailing Address - Street 1:1203 DORSET CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-7868
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1203 DORSET CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-7868
Practice Address - Country:US
Practice Address - Phone:631-948-8609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home