Provider Demographics
NPI:1417637620
Name:MAJESTY HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:MAJESTY HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:W
Authorized Official - Last Name:EGBEH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, NP
Authorized Official - Phone:856-899-8944
Mailing Address - Street 1:PO BOX 2434
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08362
Mailing Address - Country:US
Mailing Address - Phone:856-899-8944
Mailing Address - Fax:856-362-5482
Practice Address - Street 1:692 E. WOOD STREET
Practice Address - Street 2:SUITE 309
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-899-8944
Practice Address - Fax:856-362-5482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health