Provider Demographics
NPI:1417612938
Name:DEVOTED AGENTS OF HOMECARE INC
Entity Type:Organization
Organization Name:DEVOTED AGENTS OF HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-505-8181
Mailing Address - Street 1:8 TIOGA LN
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-3715
Mailing Address - Country:US
Mailing Address - Phone:609-505-8181
Mailing Address - Fax:
Practice Address - Street 1:8 TIOGA LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-3715
Practice Address - Country:US
Practice Address - Phone:609-505-8181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health