Provider Demographics
NPI:1730758731
Name:MOBILE HEALTHCARE
Entity type:Organization
Organization Name:MOBILE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEETEH
Authorized Official - Middle Name:
Authorized Official - Last Name:NARTEH
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:502-807-0726
Mailing Address - Street 1:11510 WILLOW BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-4525
Mailing Address - Country:US
Mailing Address - Phone:502-807-0726
Mailing Address - Fax:502-713-2523
Practice Address - Street 1:11510 WILLOW BRANCH DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-4525
Practice Address - Country:US
Practice Address - Phone:502-807-0726
Practice Address - Fax:502-713-2523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty