Provider Demographics
NPI:1700449329
Name:CYCLE 8 HEALTH CARE, LLC
Entity Type:Organization
Organization Name:CYCLE 8 HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:D
Authorized Official - Last Name:PENDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP, DNP
Authorized Official - Phone:601-502-3009
Mailing Address - Street 1:2570 BAILEY AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39213-6905
Mailing Address - Country:US
Mailing Address - Phone:601-502-3009
Mailing Address - Fax:
Practice Address - Street 1:2570 BAILEY AVE STE 7
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39213-6905
Practice Address - Country:US
Practice Address - Phone:601-502-3009
Practice Address - Fax:769-251-1503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center