Provider Demographics
NPI:1356064836
Name:DIBE ARCADIA HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:DIBE ARCADIA HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DORCAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BOURSIQUOT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:973-978-7409
Mailing Address - Street 1:501 CAMBRIA AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-7213
Mailing Address - Country:US
Mailing Address - Phone:973-978-7409
Mailing Address - Fax:
Practice Address - Street 1:501 CAMBRIA AVE STE 212
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-7213
Practice Address - Country:US
Practice Address - Phone:973-978-7409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service