Provider Demographics
NPI:1194809376
Name:JULIANA NWACHUKWU DBA PREMIER HOME HEALTH SERVICES
Entity type:Organization
Organization Name:JULIANA NWACHUKWU DBA PREMIER HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NWACHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:214-546-0267
Mailing Address - Street 1:2608 CROOKED CRK
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-4216
Mailing Address - Country:US
Mailing Address - Phone:214-546-0267
Mailing Address - Fax:972-222-0316
Practice Address - Street 1:2608 CROOKED CRK
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-4216
Practice Address - Country:US
Practice Address - Phone:214-546-0267
Practice Address - Fax:972-222-0316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011430251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health