Provider Demographics
NPI:1730483124
Name:DEMBYENTERTAINMENT
Entity Type:Organization
Organization Name:DEMBYENTERTAINMENT
Other - Org Name:DEMBYENTERTAINMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DEMBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-478-7743
Mailing Address - Street 1:17222 N CENTRAL AVE APT 119
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-2335
Mailing Address - Country:US
Mailing Address - Phone:623-478-7743
Mailing Address - Fax:623-478-7745
Practice Address - Street 1:17222 N CENTRAL AVE 119
Practice Address - Street 2:
Practice Address - City:PHX
Practice Address - State:AZ
Practice Address - Zip Code:85022
Practice Address - Country:US
Practice Address - Phone:623-478-7743
Practice Address - Fax:623-478-7745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)