Healthcare Provider Details

I. General information

NPI: 1275667487
Provider Name (Legal Business Name): DAMAL HOME CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2827 CLEVELAND AVE
COLUMBUS OH
43224-4409
US

IV. Provider business mailing address

2827 CLEVELAND AVE
COLUMBUS OH
43224-4409
US

V. Phone/Fax

Practice location:
  • Phone: 614-586-1871
  • Fax: 614-586-1872
Mailing address:
  • Phone: 614-586-1871
  • Fax: 614-586-1872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number2523826
License Number StateOH

VIII. Authorized Official

Name: MR. YASIN M WARSAME
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-586-1871