Provider Demographics
NPI:1104122043
Name:DENMAR CAREER BASED TRAINING
Entity type:Organization
Organization Name:DENMAR CAREER BASED TRAINING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERIDAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:937-277-4730
Mailing Address - Street 1:4699 SALEM AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45416-1724
Mailing Address - Country:US
Mailing Address - Phone:937-277-4730
Mailing Address - Fax:937-660-9388
Practice Address - Street 1:4699 SALEM AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45416-1724
Practice Address - Country:US
Practice Address - Phone:937-277-4730
Practice Address - Fax:937-660-9388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health