Provider Demographics
NPI:1295316750
Name:DOILY, LLC
Entity type:Organization
Organization Name:DOILY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEMT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:C
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-703-6931
Mailing Address - Street 1:204 2ND AVE # 128
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3904
Mailing Address - Country:US
Mailing Address - Phone:650-703-6931
Mailing Address - Fax:
Practice Address - Street 1:204 2ND AVE # 128
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3904
Practice Address - Country:US
Practice Address - Phone:650-703-6931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty