Provider Demographics
NPI:1245800036
Name:NOUKYS HOME HEALTH AGENCY AND COMPANIONSHIP INC
Entity Type:Organization
Organization Name:NOUKYS HOME HEALTH AGENCY AND COMPANIONSHIP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MANOUCHEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAVARD
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:855-261-1140
Mailing Address - Street 1:5000 W MIDWAY RD # 13626
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34981-4827
Mailing Address - Country:US
Mailing Address - Phone:855-261-1140
Mailing Address - Fax:856-291-0680
Practice Address - Street 1:5000 W MIDWAY RD # 13626
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34981-4827
Practice Address - Country:US
Practice Address - Phone:855-261-1140
Practice Address - Fax:856-291-0680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health