Provider Demographics
NPI:1376885335
Name:ETERNAL HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ETERNAL HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ASAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-556-8380
Mailing Address - Street 1:5402 N MAIN ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-3474
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5402 N MAIN ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-3474
Practice Address - Country:US
Practice Address - Phone:614-556-8380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health