Provider Demographics
NPI:1255005310
Name:ESTEEM SUPPORT SERVICES
Entity Type:Organization
Organization Name:ESTEEM SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TITILOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:OZOIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-810-9786
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:ATCO
Mailing Address - State:NJ
Mailing Address - Zip Code:08004-0686
Mailing Address - Country:US
Mailing Address - Phone:718-810-9786
Mailing Address - Fax:
Practice Address - Street 1:120 CROSLEY DR
Practice Address - Street 2:
Practice Address - City:ATCO
Practice Address - State:NJ
Practice Address - Zip Code:08004-3040
Practice Address - Country:US
Practice Address - Phone:718-810-9786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty