Provider Demographics
NPI:1063165777
Name:DNTCASH CENNT CALVARY & CO HOME CARE LL
Entity type:Organization
Organization Name:DNTCASH CENNT CALVARY & CO HOME CARE LL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ALT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DELPHINE
Authorized Official - Middle Name:SIEMOU
Authorized Official - Last Name:TCHENGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-980-3909
Mailing Address - Street 1:1 PETERS LN
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-1980
Mailing Address - Country:US
Mailing Address - Phone:617-980-3909
Mailing Address - Fax:
Practice Address - Street 1:1 PETERS LN
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-1980
Practice Address - Country:US
Practice Address - Phone:617-980-3909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health