Organization Name: | DOUGHCO INC. |
NPI Number: | 1053647487 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOROTHY DOUGHERTY (PRESIDENT) |
Mailing Address: | 220 N Glenoaks Blvd Suite A Burbank |
State: | CA US |
Postal Code: | 915021213 |
Phone Number: | 8188414040 |
Fax Number: | 8185596428 |
NPI Enumeration Date: | 10/20/2009 |
NPI Last Update Date: | 10/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |