Provider Demographics
NPI:1447545454
Name:DIGNITY FIRST HOMECARE INC
Entity type:Organization
Organization Name:DIGNITY FIRST HOMECARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-783-7095
Mailing Address - Street 1:4651 SALISBURY ROAD
Mailing Address - Street 2:SUITE 470
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-0617
Mailing Address - Country:US
Mailing Address - Phone:904-783-7070
Mailing Address - Fax:904-783-7071
Practice Address - Street 1:4651 SALISBURY ROAD
Practice Address - Street 2:SUITE 470
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-0617
Practice Address - Country:US
Practice Address - Phone:904-783-7070
Practice Address - Fax:904-783-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232078253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care