Provider Demographics
NPI:1013089358
Name:DAILEYS HEALTH CARE INC
Entity Type:Organization
Organization Name:DAILEYS HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE BSN
Authorized Official - Phone:757-523-5207
Mailing Address - Street 1:2200 DUNBARTON DR STE G
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-4920
Mailing Address - Country:US
Mailing Address - Phone:757-523-5207
Mailing Address - Fax:757-523-0752
Practice Address - Street 1:2200 DUNBARTON DR STE G
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325-4920
Practice Address - Country:US
Practice Address - Phone:757-523-5207
Practice Address - Fax:757-523-0752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO07282251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10067413OtherCONSUMER DIRECTIVE PROV #
VA8773238OtherRESPITE CARE
VA8704261Medicaid