Provider Demographics
NPI:1326623877
Name:PRISTINE CARE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:PRISTINE CARE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GOLDA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-742-7170
Mailing Address - Street 1:5660 SOUTHWYCK BLVD STE 200F
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1566
Mailing Address - Country:US
Mailing Address - Phone:567-742-7170
Mailing Address - Fax:567-742-7270
Practice Address - Street 1:5660 SOUTHWYCK BLVD STE 200F
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1566
Practice Address - Country:US
Practice Address - Phone:567-742-7170
Practice Address - Fax:567-742-7270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health