Provider Demographics
NPI:1215553250
Name:ESSENTIAL HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ESSENTIAL HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-305-1156
Mailing Address - Street 1:603 MEADOW GLEN PKWY
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-4242
Mailing Address - Country:US
Mailing Address - Phone:937-305-1156
Mailing Address - Fax:
Practice Address - Street 1:603 MEADOW GLEN PKWY
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-4242
Practice Address - Country:US
Practice Address - Phone:937-305-1156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care