Provider Demographics
NPI:1447814801
Name:DAWSON & DAWSON HOMECARE, LLC
Entity type:Organization
Organization Name:DAWSON & DAWSON HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON-THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:866-632-9766
Mailing Address - Street 1:2309 WAVERLY WAY
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6552
Mailing Address - Country:US
Mailing Address - Phone:866-632-9766
Mailing Address - Fax:
Practice Address - Street 1:69 ROBERT SMALLS PKWY
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-4267
Practice Address - Country:US
Practice Address - Phone:866-632-9766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care