Provider Demographics
NPI:1013523067
Name:D AND S HEALTHCARE
Entity Type:Organization
Organization Name:D AND S HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BESONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-592-4763
Mailing Address - Street 1:1433 ROSALIE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-3322
Mailing Address - Country:US
Mailing Address - Phone:267-592-4763
Mailing Address - Fax:
Practice Address - Street 1:1433 ROSALIE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-3322
Practice Address - Country:US
Practice Address - Phone:267-592-4763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health