Provider Demographics
NPI:1336571520
Name:DOVE CARE, LLC
Entity Type:Organization
Organization Name:DOVE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMIE
Authorized Official - Middle Name:MONDESIR
Authorized Official - Last Name:CHERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-237-2804
Mailing Address - Street 1:35C MEMORIAL RD APT 26
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145-1708
Mailing Address - Country:US
Mailing Address - Phone:617-764-3652
Mailing Address - Fax:617-764-3652
Practice Address - Street 1:35C MEMORIAL RD APT 26
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02145-1708
Practice Address - Country:US
Practice Address - Phone:617-764-3652
Practice Address - Fax:617-764-3652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA020844722E251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care