Healthcare Provider Details

I. General information

NPI: 1417081597
Provider Name (Legal Business Name): DOVE BUSINESS SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6489 VINEYARD DR
BATON ROUGE LA
70812-2056
US

IV. Provider business mailing address

6489 VINEYARD DR
BATON ROUGE LA
70812-2056
US

V. Phone/Fax

Practice location:
  • Phone: 225-620-8134
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE DAY
Title or Position: PRESIDENT
Credential:
Phone: 225-620-8134