Provider Demographics
NPI:1851717672
Name:NOLEN HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:NOLEN HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:IKE
Authorized Official - Middle Name:
Authorized Official - Last Name:UKAWUBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-771-6800
Mailing Address - Street 1:5726 PRESTON HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2601
Mailing Address - Country:US
Mailing Address - Phone:773-771-6800
Mailing Address - Fax:
Practice Address - Street 1:5726 PRESTON HAVEN DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2601
Practice Address - Country:US
Practice Address - Phone:773-771-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies