Provider Demographics
NPI:1144668096
Name:HEALTHFORCE OF DAYTON, INC
Entity type:Organization
Organization Name:HEALTHFORCE OF DAYTON, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUGHRABI
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:423-240-1688
Mailing Address - Street 1:260 16TH AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DAYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37321-1071
Mailing Address - Country:US
Mailing Address - Phone:423-499-5655
Mailing Address - Fax:
Practice Address - Street 1:260 16TH AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:DAYTON
Practice Address - State:TN
Practice Address - Zip Code:37321-1071
Practice Address - Country:US
Practice Address - Phone:423-499-5655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult HealthGroup - Multi-Specialty