Provider Demographics
NPI:1730765793
Name:SUFFICIENT ENOUGH HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:SUFFICIENT ENOUGH HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-320-9817
Mailing Address - Street 1:104 SCHUYLKILL AVE APT D5
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4938
Mailing Address - Country:US
Mailing Address - Phone:267-320-9817
Mailing Address - Fax:
Practice Address - Street 1:104 SCHUYLKILL AVE APT D5
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4938
Practice Address - Country:US
Practice Address - Phone:267-320-9817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care