Provider Demographics
NPI:1831652262
Name:ENVITAL HEALTHCARE INC
Entity Type:Organization
Organization Name:ENVITAL HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:EFFANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-697-0023
Mailing Address - Street 1:1609 WARM SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-1884
Mailing Address - Country:US
Mailing Address - Phone:214-697-0023
Mailing Address - Fax:214-509-9452
Practice Address - Street 1:1609 WARM SPRINGS DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-1884
Practice Address - Country:US
Practice Address - Phone:214-697-0023
Practice Address - Fax:214-509-9452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health