Organization
DG HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GVINIANIDZE (OWNER)
(718) 200-9044
Entity
Organization
Contact information
Practice address
260 KNOWLES AVE STE 220, SOUTHAMPTON, PA 18966-1555
(347) 992-6675
Mailing address
260 KNOWLES AVE STE 220, SOUTHAMPTON, PA 18966-1555
(347) 992-6675
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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