Provider Demographics
NPI:1760147730
Name:DPH LLC
Entity Type:Organization
Organization Name:DPH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:339-236-9301
Mailing Address - Street 1:PO BOX 3451
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-3451
Mailing Address - Country:US
Mailing Address - Phone:843-979-3273
Mailing Address - Fax:843-979-3275
Practice Address - Street 1:4124 HIGHWAY 17 BUSINESS UNIT E
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-6475
Practice Address - Country:US
Practice Address - Phone:843-979-3273
Practice Address - Fax:843-979-3275
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DPH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome HealthGroup - Single Specialty