Organization
DP HOME HEALTH CARE ASSOCIATES INC
Active
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
Update your record
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