Provider Demographics
NPI:1659657096
Name:DILOR CONSULTING GROUP INCORPORATION
Entity Type:Organization
Organization Name:DILOR CONSULTING GROUP INCORPORATION
Other - Org Name:DILOR CARING SERVICES INCORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RASAQ
Authorized Official - Middle Name:OLATUNJI
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-476-2099
Mailing Address - Street 1:3307 HAMPTON POINT DR APT E
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6117
Mailing Address - Country:US
Mailing Address - Phone:240-476-2099
Mailing Address - Fax:
Practice Address - Street 1:3307 HAMPTON POINT DRIVE APT E
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-3488
Practice Address - Country:US
Practice Address - Phone:240-476-2099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2931251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5209909800Medicaid