Provider Demographics
NPI:1437997178
Name:DEPENDABLE HOME HEALTHCARE SERVICES
Entity type:Organization
Organization Name:DEPENDABLE HOME HEALTHCARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAWANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:251-363-4983
Mailing Address - Street 1:148 LUCILLE LN
Mailing Address - Street 2:
Mailing Address - City:BREWTON
Mailing Address - State:AL
Mailing Address - Zip Code:36426-5113
Mailing Address - Country:US
Mailing Address - Phone:251-363-4983
Mailing Address - Fax:
Practice Address - Street 1:148 LUCILLE LN
Practice Address - Street 2:
Practice Address - City:BREWTON
Practice Address - State:AL
Practice Address - Zip Code:36426-5113
Practice Address - Country:US
Practice Address - Phone:251-363-4983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty