Organization
DREAMER HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENYONAM N TANDOH (CEO)
(937) 790-0822
Entity
Organization
Contact information
Practice address
155 KITTY HAWK DR, SPRINGBORO, OH 45066-8442
(937) 790-0822
Mailing address
PO BOX 873, SPRINGBORO, OH 45066-0873
(937) 790-0822
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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