| Organization Name: | WILLIAM DAHLQUIST ENTERPRISES, INC., DBA HOME INSTEAD SENIOR CARE |
| NPI Number: | 1659674406 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM P. DAHLQUIST (OWNER) |
| Mailing Address: | 2095 S Pontiac Way Denver |
| State: | CO US |
| Postal Code: | 802242411 |
| Phone Number: | 3033895700 |
| Fax Number: | 3033895708 |
| NPI Enumeration Date: | 12/17/2010 |
| NPI Last Update Date: | 12/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 04B370 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |