Organization Name: | DREAMERS ACHIEVEMENT CENTER |
NPI Number: | 1255695235 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTOINETTE CELESTINE KORVAH (PRESIDENT & CEO) |
Mailing Address: | 153 Stirling Way Etna |
State: | OH US |
Postal Code: | 430627109 |
Phone Number: | 6143544348 |
Fax Number: | 7409195136 |
NPI Enumeration Date: | 06/25/2012 |
NPI Last Update Date: | 06/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |