Provider Demographics
NPI:1831344647
Name:DONNA'S HOME HEALTHCARE
Entity type:Organization
Organization Name:DONNA'S HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSING ASSITANT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:WALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-587-4904
Mailing Address - Street 1:410 GUILFORD COLLEGE ROAD
Mailing Address - Street 2:APT G
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-2085
Mailing Address - Country:US
Mailing Address - Phone:336-587-4904
Mailing Address - Fax:
Practice Address - Street 1:410 GUILFORD COLLEGE ROAD
Practice Address - Street 2:APT G
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-2085
Practice Address - Country:US
Practice Address - Phone:336-587-4904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DONNA'S HOMEHEALTH CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC199451251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health