Provider Demographics
NPI:1336870518
Name:OVASEA STYLES INTERNATIONAL LLC
Entity Type:Organization
Organization Name:OVASEA STYLES INTERNATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGT
Authorized Official - Prefix:
Authorized Official - First Name:CHERISE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-404-7128
Mailing Address - Street 1:5540 N HAVERHILL RD APT 72
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3070
Mailing Address - Country:US
Mailing Address - Phone:315-404-7128
Mailing Address - Fax:
Practice Address - Street 1:5540 N HAVERHILL RD APT 72
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3070
Practice Address - Country:US
Practice Address - Phone:315-404-7128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care