Provider Demographics
NPI:1821647009
Name:HIGHTOWER HEALTHCARE INC
Entity Type:Organization
Organization Name:HIGHTOWER HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EGHEOSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZUAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-789-3833
Mailing Address - Street 1:1625 CONLEY RD APT 149
Mailing Address - Street 2:
Mailing Address - City:CONLEY
Mailing Address - State:GA
Mailing Address - Zip Code:30288-1869
Mailing Address - Country:US
Mailing Address - Phone:770-789-3833
Mailing Address - Fax:
Practice Address - Street 1:1625 CONLEY RD APT 149
Practice Address - Street 2:
Practice Address - City:CONLEY
Practice Address - State:GA
Practice Address - Zip Code:30288-1869
Practice Address - Country:US
Practice Address - Phone:770-789-3833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health