Provider Demographics
NPI:1316146806
Name:PREFERRED HEALTHCARE PERSONNEL
Entity type:Organization
Organization Name:PREFERRED HEALTHCARE PERSONNEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ETENG
Authorized Official - Middle Name:BASSEY
Authorized Official - Last Name:ENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-677-0017
Mailing Address - Street 1:134 EVERGREEN PLACE,
Mailing Address - Street 2:P.O. BOX 2448
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2011
Mailing Address - Country:US
Mailing Address - Phone:973-677-0017
Mailing Address - Fax:973-677-2292
Practice Address - Street 1:134 EVERGREEN PLACE,
Practice Address - Street 2:1ST FLOOR SUITE 100
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2011
Practice Address - Country:US
Practice Address - Phone:973-677-0017
Practice Address - Fax:973-677-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health