Provider Demographics
NPI:1679347736
Name:4EVERSISTERS
Entity Type:Organization
Organization Name:4EVERSISTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAPHANIE
Authorized Official - Middle Name:SHERRELLE
Authorized Official - Last Name:BLACKWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-889-9813
Mailing Address - Street 1:6840 MARVIN AVE
Mailing Address - Street 2:
Mailing Address - City:N COLLEGE HL
Mailing Address - State:OH
Mailing Address - Zip Code:45224-1144
Mailing Address - Country:US
Mailing Address - Phone:513-568-9481
Mailing Address - Fax:513-620-8744
Practice Address - Street 1:6840 MARVIN AVE
Practice Address - Street 2:
Practice Address - City:N COLLEGE HL
Practice Address - State:OH
Practice Address - Zip Code:45224-1144
Practice Address - Country:US
Practice Address - Phone:513-568-9481
Practice Address - Fax:513-620-8744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care