Provider Demographics
NPI:1922609932
Name:INFORMATIX HEALTH INC
Entity Type:Organization
Organization Name:INFORMATIX HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:WAMBUI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-521-9625
Mailing Address - Street 1:55 KNAPP CTR
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5535
Mailing Address - Country:US
Mailing Address - Phone:508-521-9625
Mailing Address - Fax:
Practice Address - Street 1:55 KNAPP CTR
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5535
Practice Address - Country:US
Practice Address - Phone:508-521-9625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care