Provider Demographics
NPI:1508273905
Name:DOLRAC HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:DOLRAC HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOTOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-875-4149
Mailing Address - Street 1:3839 MISTISSIN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-4554
Mailing Address - Country:US
Mailing Address - Phone:832-875-4149
Mailing Address - Fax:713-433-7060
Practice Address - Street 1:3839 MISTISSIN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-4554
Practice Address - Country:US
Practice Address - Phone:832-875-4149
Practice Address - Fax:713-433-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health