Provider Demographics
NPI:1467209882
Name:PETER NURSING HOME HEALTH SERVICES
Entity type:Organization
Organization Name:PETER NURSING HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CELESTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FANGNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-368-1724
Mailing Address - Street 1:2508 PATRICIA ROBERTS HARRIS PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-1633
Mailing Address - Country:US
Mailing Address - Phone:202-368-1724
Mailing Address - Fax:
Practice Address - Street 1:2508 PATRICIA ROBERTS HARRIS PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1633
Practice Address - Country:US
Practice Address - Phone:202-368-1724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health