Organization
DP HOME HEALTH CARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L. PONQUINETTE PD, CDM (PRESIDENT)
(251) 471-2113
Entity
Organization
Contact information
Practice address
2168 A ST. STEPHENS ROAD, MOBILE, AL 36617-3732
(251) 471-2113
(251) 476-1672
Mailing address
PO BOX 1342, MOBILE, AL 36633-1342
(251) 471-2113
(251) 476-1672
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
118
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000054625
—
AL
01
—
51054625
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/14/2007
Last updated
05/22/2013
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