Provider Demographics
NPI:1720667421
Name:DENZEL HEALTH CARE LLC
Entity Type:Organization
Organization Name:DENZEL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRAISE
Authorized Official - Middle Name:T
Authorized Official - Last Name:OKEADU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-781-3484
Mailing Address - Street 1:410 4TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:GWINNER
Mailing Address - State:ND
Mailing Address - Zip Code:58040-4356
Mailing Address - Country:US
Mailing Address - Phone:701-781-3484
Mailing Address - Fax:
Practice Address - Street 1:410 4TH AVE SE
Practice Address - Street 2:
Practice Address - City:GWINNER
Practice Address - State:ND
Practice Address - Zip Code:58040-4356
Practice Address - Country:US
Practice Address - Phone:701-781-3484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty