Provider Demographics
NPI:1205163789
Name:AMDAL IN-HOME CARE, INC.
Entity type:Organization
Organization Name:AMDAL IN-HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MARKETING
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERSON
Authorized Official - Middle Name:G
Authorized Official - Last Name:HILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-227-1701
Mailing Address - Street 1:318 S M ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-5429
Mailing Address - Country:US
Mailing Address - Phone:559-686-6611
Mailing Address - Fax:559-686-6622
Practice Address - Street 1:318 S M ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-5429
Practice Address - Country:US
Practice Address - Phone:559-686-6611
Practice Address - Fax:559-686-6622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care