Provider Demographics
NPI:1891005146
Name:DIGNIFIED HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:DIGNIFIED HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKAMNONU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-667-7178
Mailing Address - Street 1:9232 COUNTY ROAD 489
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75706-6810
Mailing Address - Country:US
Mailing Address - Phone:682-667-7178
Mailing Address - Fax:972-293-6941
Practice Address - Street 1:9232 COUNTY ROAD 489
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75706-6810
Practice Address - Country:US
Practice Address - Phone:682-667-7178
Practice Address - Fax:972-293-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health