Provider Demographics
NPI:1609264613
Name:SYSTEM HEALTH CARE
Entity Type:Organization
Organization Name:SYSTEM HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH AID
Authorized Official - Prefix:MISS
Authorized Official - First Name:FRIDA
Authorized Official - Middle Name:SENGE
Authorized Official - Last Name:MUABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-456-9792
Mailing Address - Street 1:15636 CLIFF SWALLOW WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1487
Mailing Address - Country:US
Mailing Address - Phone:920-456-9792
Mailing Address - Fax:
Practice Address - Street 1:15636 CLIFF SWALLOW WAY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-1487
Practice Address - Country:US
Practice Address - Phone:920-456-9792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-27
Last Update Date:2014-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDC231456754310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility