Provider Demographics
NPI:1154187649
Name:DALMIKK HEALTHCARE INC
Entity type:Organization
Organization Name:DALMIKK HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS
Authorized Official - Prefix:
Authorized Official - First Name:JOFFI
Authorized Official - Middle Name:
Authorized Official - Last Name:ESONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-659-0402
Mailing Address - Street 1:919 E MAIN ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-4623
Mailing Address - Country:US
Mailing Address - Phone:240-659-0402
Mailing Address - Fax:
Practice Address - Street 1:919 E MAIN ST STE 1000
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-4623
Practice Address - Country:US
Practice Address - Phone:240-659-0402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care