Provider Demographics
NPI:1699164558
Name:HUDUMA INC
Entity type:Organization
Organization Name:HUDUMA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:GICHUHI
Authorized Official - Last Name:GITHIACA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-826-5387
Mailing Address - Street 1:390 MAIN ST STE 1041
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-2583
Mailing Address - Country:US
Mailing Address - Phone:508-826-5387
Mailing Address - Fax:508-754-8272
Practice Address - Street 1:390 MAIN ST STE 1041
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2583
Practice Address - Country:US
Practice Address - Phone:508-826-5387
Practice Address - Fax:508-754-8272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA452784552251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health