Provider Demographics
NPI:1174779151
Name:MEDISENSE CARE
Entity type:Organization
Organization Name:MEDISENSE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OKEZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WACHUKU
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:586-258-3875
Mailing Address - Street 1:36505 PARK PLACE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4222
Mailing Address - Country:US
Mailing Address - Phone:586-258-3875
Mailing Address - Fax:
Practice Address - Street 1:36505 PARK PLACE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4222
Practice Address - Country:US
Practice Address - Phone:586-258-3875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXIM COMPLIANCE MGT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare