Provider Demographics
NPI:1164027637
Name:AMARA HEALTH SYSTEMS LLC
Entity Type:Organization
Organization Name:AMARA HEALTH SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:K
Authorized Official - Last Name:OBU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:617-792-4503
Mailing Address - Street 1:895 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-1232
Mailing Address - Country:US
Mailing Address - Phone:617-792-4503
Mailing Address - Fax:
Practice Address - Street 1:895 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-1232
Practice Address - Country:US
Practice Address - Phone:617-792-4503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty