Provider Demographics
NPI:1841420734
Name:ENRICHED HEALTH SERVICES
Entity Type:Organization
Organization Name:ENRICHED HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOUNR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-215-1186
Mailing Address - Street 1:300 E ARLINGTON BLVD
Mailing Address - Street 2:SUITE 9A
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5037
Mailing Address - Country:US
Mailing Address - Phone:252-215-1186
Mailing Address - Fax:252-215-1187
Practice Address - Street 1:300 E ARLINGTON BLVD
Practice Address - Street 2:SUITE 9A
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5037
Practice Address - Country:US
Practice Address - Phone:252-215-1186
Practice Address - Fax:252-215-1187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-26
Last Update Date:2009-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health