Provider Demographics
NPI:1205683786
Name:DLS HOMECARE
Entity type:Organization
Organization Name:DLS HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-706-3299
Mailing Address - Street 1:40 OKATIE CENTER BLVD S STE 105
Mailing Address - Street 2:
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909-7507
Mailing Address - Country:US
Mailing Address - Phone:843-706-3299
Mailing Address - Fax:
Practice Address - Street 1:40 OKATIE CENTER BLVD S STE 105
Practice Address - Street 2:
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-7507
Practice Address - Country:US
Practice Address - Phone:843-706-3299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care