Provider Demographics
NPI:1215548334
Name:NENZIECARE SOLUTIONS INC
Entity Type:Organization
Organization Name:NENZIECARE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:INYIRI
Authorized Official - Middle Name:O
Authorized Official - Last Name:NNANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-966-2322
Mailing Address - Street 1:4644 MILL WATER XING
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-4184
Mailing Address - Country:US
Mailing Address - Phone:404-966-2322
Mailing Address - Fax:706-496-2649
Practice Address - Street 1:4644 MILL WATER XING
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-4184
Practice Address - Country:US
Practice Address - Phone:404-966-2322
Practice Address - Fax:706-496-2649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care