1326747262 NPI number — DUDLEY & TURNER HOME HEALTH SOLUTIONS INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326747262 NPI number — DUDLEY & TURNER HOME HEALTH SOLUTIONS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DUDLEY & TURNER HOME HEALTH SOLUTIONS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326747262
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/13/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5277 W FAIRY CHASM RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROWN DEER
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53223-1607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
414-779-7515
Provider Business Mailing Address Fax Number:
262-364-2334

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2625 S GREELEY ST STE 109
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53207-2029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-779-7515
Provider Business Practice Location Address Fax Number:
262-364-2334
Provider Enumeration Date:
02/28/2023

Additional Information

Authorized Official

Authorized Official Last Name:
DUDLEY
Authorized Official First Name:
DELSHON
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
414-779-7515

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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