Organization Name: | DAKAS HEALTHCARE PROVIDERS |
NPI Number: | 1003135971 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OLUWADARE OLANIPEKUN AWOLOLA (OWNER) |
Mailing Address: | 105 Dracut Ave Waterbury |
State: | CT US |
Postal Code: | 067042207 |
Phone Number: | 3475175904 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2010 |
NPI Last Update Date: | 05/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |