Provider Demographics
NPI:1144257940
Name:DOVER HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:DOVER HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADEBUKOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBASANYA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP, APRN,RN
Authorized Official - Phone:214-351-3360
Mailing Address - Street 1:307 S MCDONALD ST STE 400
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-5619
Mailing Address - Country:US
Mailing Address - Phone:214-351-3360
Mailing Address - Fax:214-988-1488
Practice Address - Street 1:307 S MCDONALD ST STE 400
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-5619
Practice Address - Country:US
Practice Address - Phone:214-351-3360
Practice Address - Fax:214-988-1488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty