Provider Demographics
NPI:1881839918
Name:IGBOBIS HEALTH CARE GROUP
Entity Type:Organization
Organization Name:IGBOBIS HEALTH CARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VALENTINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:IGBOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-405-4952
Mailing Address - Street 1:34 FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:S ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-7604
Mailing Address - Country:US
Mailing Address - Phone:781-405-4952
Mailing Address - Fax:508-639-9142
Practice Address - Street 1:34 FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:S ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-7604
Practice Address - Country:US
Practice Address - Phone:781-405-4952
Practice Address - Fax:508-639-9142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies