Provider Demographics
NPI:1487292835
Name:CHRIST-ED HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:CHRIST-ED HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:OLADIPO
Authorized Official - Last Name:OJOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-615-3698
Mailing Address - Street 1:4073 SAPLING WAY
Mailing Address - Street 2:
Mailing Address - City:TRIANGLE
Mailing Address - State:VA
Mailing Address - Zip Code:22172-2052
Mailing Address - Country:US
Mailing Address - Phone:703-615-3698
Mailing Address - Fax:
Practice Address - Street 1:4073 SAPLING WAY
Practice Address - Street 2:
Practice Address - City:TRIANGLE
Practice Address - State:VA
Practice Address - Zip Code:22172-2052
Practice Address - Country:US
Practice Address - Phone:703-615-3698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health