Provider Demographics
NPI:1255168563
Name:DAILY LIVING HOMECARE, INC.
Entity type:Organization
Organization Name:DAILY LIVING HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-875-7405
Mailing Address - Street 1:PO BOX 133
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:MI
Mailing Address - Zip Code:48847-0133
Mailing Address - Country:US
Mailing Address - Phone:989-875-7405
Mailing Address - Fax:989-875-8685
Practice Address - Street 1:145 E CENTER ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:MI
Practice Address - Zip Code:48847-1458
Practice Address - Country:US
Practice Address - Phone:989-875-7405
Practice Address - Fax:989-875-8685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty