Provider Demographics
NPI:1609625862
Name:DUCHESSHN03.INC
Entity type:Organization
Organization Name:DUCHESSHN03.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPER
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:ATIM
Authorized Official - Last Name:NWEZE
Authorized Official - Suffix:
Authorized Official - Credentials:NATIONAL DIRECTOR
Authorized Official - Phone:562-539-7359
Mailing Address - Street 1:17045 CLARK AVE APT 10
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5776
Mailing Address - Country:US
Mailing Address - Phone:562-539-7359
Mailing Address - Fax:
Practice Address - Street 1:17045 CLARK AVE APT 10
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5776
Practice Address - Country:US
Practice Address - Phone:562-539-7359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUCHESSHN03.INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty