Provider Demographics
NPI:1821413345
Name:STN HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:STN HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAJAGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-677-5488
Mailing Address - Street 1:3001 LAKE TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-6596
Mailing Address - Country:US
Mailing Address - Phone:214-677-5488
Mailing Address - Fax:
Practice Address - Street 1:3001 LAKE TERRACE DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-6596
Practice Address - Country:US
Practice Address - Phone:214-677-5488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health