Provider Demographics
NPI:1306637137
Name:WESTON, DANA JEAN
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:JEAN
Last Name:WESTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:JEAN
Other - Last Name:WESTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EVERYCARE PROF HOME
Mailing Address - Street 1:1600 LYNWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-3700
Mailing Address - Country:US
Mailing Address - Phone:229-603-8707
Mailing Address - Fax:
Practice Address - Street 1:1600 LYNWOOD LN
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-3700
Practice Address - Country:US
Practice Address - Phone:229-603-8707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHCP042464251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health