Provider Demographics
NPI:1063782043
Name:DNA CENTRAL, INC.
Entity type:Organization
Organization Name:DNA CENTRAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:H
Authorized Official - Last Name:FUSTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-561-6499
Mailing Address - Street 1:135 WALTER DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-7482
Mailing Address - Country:US
Mailing Address - Phone:570-523-1810
Mailing Address - Fax:570-523-2544
Practice Address - Street 1:135 WALTER DR
Practice Address - Street 2:SUITE #1
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-7482
Practice Address - Country:US
Practice Address - Phone:570-523-1810
Practice Address - Fax:570-523-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care