Provider Demographics
NPI:1346640992
Name:ETHIC HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ETHIC HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAILY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-530-5915
Mailing Address - Street 1:13574 VILLAGE PARK DR STE 220
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7694
Mailing Address - Country:US
Mailing Address - Phone:407-530-5915
Mailing Address - Fax:407-530-5916
Practice Address - Street 1:13574 VILLAGE PARK DR STE 220
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7694
Practice Address - Country:US
Practice Address - Phone:407-530-5915
Practice Address - Fax:407-530-5916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health