Provider Demographics
NPI:1629503925
Name:SWADDLE HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:SWADDLE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OSAGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EWEKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-801-3024
Mailing Address - Street 1:33 BOSSI AVE
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-2001
Mailing Address - Country:US
Mailing Address - Phone:508-801-3024
Mailing Address - Fax:
Practice Address - Street 1:33 BOSSI AVE
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-2001
Practice Address - Country:US
Practice Address - Phone:508-801-3024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health