Provider Demographics
NPI:1215752191
Name:DEBIYKE HEALTH SERVICES INC
Entity type:Organization
Organization Name:DEBIYKE HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:OFODILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-602-9909
Mailing Address - Street 1:13621 WATER FOWL WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7115
Mailing Address - Country:US
Mailing Address - Phone:614-747-3460
Mailing Address - Fax:
Practice Address - Street 1:13621 WATER FOWL WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-7115
Practice Address - Country:US
Practice Address - Phone:614-747-0540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health