Provider Demographics
NPI:1871846790
Name:DIGNITY HOME CARE PROFESSIONALS
Entity Type:Organization
Organization Name:DIGNITY HOME CARE PROFESSIONALS
Other - Org Name:DIGNITY HOME CARE PROFESSIONALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-780-9503
Mailing Address - Street 1:7499 RUSSELL DR
Mailing Address - Street 2:APT/SUITE
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-8660
Mailing Address - Country:US
Mailing Address - Phone:616-780-9503
Mailing Address - Fax:
Practice Address - Street 1:7499 RUSSELL DR
Practice Address - Street 2:
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426
Practice Address - Country:US
Practice Address - Phone:616-780-9503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health