Provider Demographics
NPI:1093136566
Name:COCHHBHA ENTERPRISES, INC DBA CEI STAFFING
Entity Type:Organization
Organization Name:COCHHBHA ENTERPRISES, INC DBA CEI STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:954-576-6802
Mailing Address - Street 1:10238 NW 47TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7970
Mailing Address - Country:US
Mailing Address - Phone:954-572-6802
Mailing Address - Fax:954-742-5811
Practice Address - Street 1:10238 NW 47TH ST
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7970
Practice Address - Country:US
Practice Address - Phone:954-572-6802
Practice Address - Fax:954-742-5811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211660311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home