Healthcare Provider Details

I. General information

NPI: 1376169151
Provider Name (Legal Business Name): DAHLIA HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3080 N WASHINGTON BLVD STE 33
SARASOTA FL
34234-6241
US

IV. Provider business mailing address

3080 N WASHINGTON BLVD STE 33
SARASOTA FL
34234-6241
US

V. Phone/Fax

Practice location:
  • Phone: 941-806-8292
  • Fax:
Mailing address:
  • Phone: 941-806-8292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LORI WHEELER
Title or Position: OWNER/CAREGIVER
Credential: RN
Phone: 941-806-8292