Provider Demographics
NPI:1457249922
Name:DALES
Entity type:Organization
Organization Name:DALES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:PRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-980-4043
Mailing Address - Street 1:PO BOX 2666
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48037-2666
Mailing Address - Country:US
Mailing Address - Phone:888-202-6552
Mailing Address - Fax:
Practice Address - Street 1:29566 NORTHWESTERN HWY
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1032
Practice Address - Country:US
Practice Address - Phone:888-202-6552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty