Provider Demographics
NPI:1255625448
Name:MABATAH, OKAFOR EMMANUEL (RN)
Entity type:Individual
Prefix:
First Name:OKAFOR
Middle Name:EMMANUEL
Last Name:MABATAH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4449 EASTON WAY
Mailing Address - Street 2:2ND FLOOR (BECK HOME CARE SERVICES INC)
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-6093
Mailing Address - Country:US
Mailing Address - Phone:832-876-6112
Mailing Address - Fax:
Practice Address - Street 1:4449 EASTON WAY
Practice Address - Street 2:2ND FLOOR (BECK HOME CARE SERVICES INC)
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6093
Practice Address - Country:US
Practice Address - Phone:832-876-6112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-05
Last Update Date:2011-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.370128-163WH0200X
TX678765163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health