Provider Demographics
NPI:1962280529
Name:NOTRE DAME SERVICES LLC
Entity type:Organization
Organization Name:NOTRE DAME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:MISS
Authorized Official - First Name:BRUNHILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NABANG
Authorized Official - Suffix:
Authorized Official - Credentials:DOO
Authorized Official - Phone:763-267-2953
Mailing Address - Street 1:311 PASSINA RD
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7684
Mailing Address - Country:US
Mailing Address - Phone:763-267-2953
Mailing Address - Fax:
Practice Address - Street 1:311 PASSINA RD
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-7684
Practice Address - Country:US
Practice Address - Phone:763-267-2953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care