Provider Demographics
NPI:1720855133
Name:DAMASCUS HOME CARE, LLC
Entity Type:Organization
Organization Name:DAMASCUS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-385-3090
Mailing Address - Street 1:192 LAKE SHORE RD
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04429-7012
Mailing Address - Country:US
Mailing Address - Phone:207-385-3090
Mailing Address - Fax:207-433-1094
Practice Address - Street 1:192 LAKE SHORE RD
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:ME
Practice Address - Zip Code:04429-7012
Practice Address - Country:US
Practice Address - Phone:207-385-3090
Practice Address - Fax:207-433-1094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care