MEDICARE: DUALCARE HOME HEALTH AGENCY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1013855618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUALCARE HOME HEALTH AGENCY

Provider Business Mailing Address
First Line	:	5091 MOUDRY RUN CV
Second Line	:
City	:	LAKELAND
State	:	TN
Zip	:	38002-1193
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5091 MOUDRY RUN CV
Second Line	:
City	:	LAKELAND
State	:	TN
Zip	:	38002-1193
Country	:	US
Telephone Number	:	870-822-0077
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	IRUEDO OBEHI
Credential	:
Telephone Number	:	870-822-0077

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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