Provider Demographics
NPI:1013210103
Name:ACKEIFI, CHARLES BANDOH (CARE ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:BANDOH
Last Name:ACKEIFI
Suffix:
Gender:M
Credentials:CARE ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOLYOKE ST
Mailing Address - Street 2:SUITE - B
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-2308
Mailing Address - Country:US
Mailing Address - Phone:413-459-5007
Mailing Address - Fax:
Practice Address - Street 1:2 HOLYOKE ST
Practice Address - Street 2:SUITE - B
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-2308
Practice Address - Country:US
Practice Address - Phone:413-459-5007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-10
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health