Dora Orena Lashley
Individual provider Active NPI In Home Supportive Care Agency · Desloge, MO
NPI 1871803239 · NPPES record last updated Oct 19, 2010
Key facts
- NPI
- 1871803239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- LC1052915 (MO)
- Practice address
- 503 N Desloge Dr
Desloge, MO 63601-3223 - Phone
- (573) 518-0333
- Fax
- (573) 518-0333
- NPI assigned
- Oct 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC1052915 | MO | MD | Home Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | LC1052915 | MO | |
| In Home Supportive Care Agency | 253Z00000X | LC1052915 | MO | Yes |
Addresses
Primary practice location
503 N Desloge Dr
Desloge, MO 63601-3223
Mailing address
503 N Desloge Dr
Desloge, MO 63601-3223
Phone (573) 518-0333
Other providers in Desloge, MO
- Jeffery Linn Huck
- Stephanie Catherine Hughes
- Angela Dawn Ibaviosa
- McKenzie Lee Kaughman
- Emily Beth Kernan
- Laurence Lum
- Rob Luna
- Leah M Lysaght
- Laura Michelle McClure
- Angela McDowell
All providers in Desloge, MO · In Home Supportive Care Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.