Provider Demographics
NPI:1649900028
Name:OCHUCARE HEALTH SERVICES INC.
Entity type:Organization
Organization Name:OCHUCARE HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IFEANYI
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHULOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-854-4855
Mailing Address - Street 1:35 BOHN CT
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3926
Mailing Address - Country:US
Mailing Address - Phone:443-854-4855
Mailing Address - Fax:
Practice Address - Street 1:35 BOHN CT
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-3926
Practice Address - Country:US
Practice Address - Phone:443-854-4855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care