Provider Demographics
NPI:1124508726
Name:DAP ENTERPRISES LLC
Entity type:Organization
Organization Name:DAP ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAFFUMI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:256-469-2100
Mailing Address - Street 1:7067 OLD MADISON PIKE NW STE 125
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2195
Mailing Address - Country:US
Mailing Address - Phone:256-469-2100
Mailing Address - Fax:256-469-2111
Practice Address - Street 1:7067 OLD MADISON PIKE NW STE 125
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2195
Practice Address - Country:US
Practice Address - Phone:256-469-2100
Practice Address - Fax:256-469-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251F00000X, 385H00000X, 253Z00000X
AL1-102069251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care