Provider Demographics
NPI:1962655175
Name:EUNICE HEALTH CARE INC.
Entity type:Organization
Organization Name:EUNICE HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:OKEMWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-594-0615
Mailing Address - Street 1:750 2ND ST NE STE 365
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-4650
Mailing Address - Country:US
Mailing Address - Phone:952-594-0615
Mailing Address - Fax:
Practice Address - Street 1:750 2ND ST NE STE 365
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-4650
Practice Address - Country:US
Practice Address - Phone:952-594-0615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN340666302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization