- Enrollment id
- O20220603000694
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1962150383
- Multiple npi flag
- N
- Ccn
- 369444
- Associate id
- 3375921380
- Organization name
- DALMAR HEALTHCARE SERVICES
- Doing business as name
- DALMAR HOME HEALTHCARE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1395 E DUBLIN GRANVILLE RD
- Address line 2
- STE 101
- City
- COLUMBUS
- State
- OH
- Zip code
- 432293314