Provider Demographics
NPI:1740023399
Name:DANDE PRODUCTS AND SERVICES LLC
Entity type:Organization
Organization Name:DANDE PRODUCTS AND SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-208-5210
Mailing Address - Street 1:450 MANORWOODS LN NW # 55901
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-8494
Mailing Address - Country:US
Mailing Address - Phone:507-208-5210
Mailing Address - Fax:
Practice Address - Street 1:450 MANORWOODS LN NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-8494
Practice Address - Country:US
Practice Address - Phone:507-208-5210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care