Provider Demographics
NPI:1508569666
Name:IVORY-HI HEALTH SERVICES INC
Entity Type:Organization
Organization Name:IVORY-HI HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHUFUSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-933-1694
Mailing Address - Street 1:2273 PENTLAND DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7212
Mailing Address - Country:US
Mailing Address - Phone:832-933-1694
Mailing Address - Fax:
Practice Address - Street 1:2273 PENTLAND DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-7212
Practice Address - Country:US
Practice Address - Phone:832-933-1694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care