Provider Demographics
NPI:1205692654
Name:DUBOYD RELIACARE LLC
Entity type:Organization
Organization Name:DUBOYD RELIACARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:DUBOYD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:267-736-3120
Mailing Address - Street 1:5214 W COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-3614
Mailing Address - Country:US
Mailing Address - Phone:267-736-3120
Mailing Address - Fax:215-877-3075
Practice Address - Street 1:5214 W COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-3614
Practice Address - Country:US
Practice Address - Phone:267-736-3120
Practice Address - Fax:215-877-3075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health