Healthcare Provider Details

I. General information

NPI: 1154545150
Provider Name (Legal Business Name): D ASSISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 05/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MORNINGSIDE LN
VOORHEES NJ
08043-3407
US

IV. Provider business mailing address

10 MORNINGSIDE LN
VOORHEES NJ
08043-3407
US

V. Phone/Fax

Practice location:
  • Phone: 856-784-5119
  • Fax:
Mailing address:
  • Phone: 856-784-5119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number State

VIII. Authorized Official

Name: DOLORES M FOSTER
Title or Position: RNFA
Credential:
Phone: 856-784-5119