Provider Demographics
NPI:1073216362
Name:NKWOJI'S CARE SERVICES,A NURSING CORP
Entity Type:Organization
Organization Name:NKWOJI'S CARE SERVICES,A NURSING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:EZENWA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:661-212-5273
Mailing Address - Street 1:17467 HONEY MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-6870
Mailing Address - Country:US
Mailing Address - Phone:661-309-2886
Mailing Address - Fax:
Practice Address - Street 1:17467 HONEY MAPLE ST
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91387-6870
Practice Address - Country:US
Practice Address - Phone:661-309-2886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No282N00000XHospitalsGeneral Acute Care Hospital