Provider Demographics
NPI:1255695235
Name:DREAMERS ACHIEVEMENT CENTER
Entity type:Organization
Organization Name:DREAMERS ACHIEVEMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:CELESTINE
Authorized Official - Last Name:KORVAH
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RN, MPH
Authorized Official - Phone:614-354-4348
Mailing Address - Street 1:153 STIRLING WAY
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-7109
Mailing Address - Country:US
Mailing Address - Phone:614-354-4348
Mailing Address - Fax:740-919-5136
Practice Address - Street 1:153 STIRLING WAY
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:OH
Practice Address - Zip Code:43062-7109
Practice Address - Country:US
Practice Address - Phone:614-354-4348
Practice Address - Fax:740-919-5136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion