Healthcare Provider Details

I. General information

NPI: 1235370107
Provider Name (Legal Business Name): DEUS DIGNITAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2009
Last Update Date: 08/04/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 LOWER RAGSDALE DR SUITE B
MONTEREY CA
93940-5775
US

IV. Provider business mailing address

22 LOWER RAGSDALE DR SUITE B
MONTEREY CA
93940-5775
US

V. Phone/Fax

Practice location:
  • Phone: 831-646-2046
  • Fax:
Mailing address:
  • Phone: 831-646-2046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. ADAM FRERICHS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 831-646-2046