Provider Demographics
NPI:1023594470
Name:TENDER CARE HEALTH SERVICES
Entity type:Organization
Organization Name:TENDER CARE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:SUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULAHI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:919-527-3719
Mailing Address - Street 1:2433 FERDINAND DR
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-7458
Mailing Address - Country:US
Mailing Address - Phone:919-500-1475
Mailing Address - Fax:
Practice Address - Street 1:2433 FERDINAND DR
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-7458
Practice Address - Country:US
Practice Address - Phone:919-500-1475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty