Provider Demographics
NPI:1962916056
Name:CZECH ENTERPRISE GROUP LLC
Entity type:Organization
Organization Name:CZECH ENTERPRISE GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO & CO-FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:CZECH
Authorized Official - Suffix:
Authorized Official - Credentials:CSCM
Authorized Official - Phone:419-567-2635
Mailing Address - Street 1:348 RICE ST # 705
Mailing Address - Street 2:
Mailing Address - City:ELMORE
Mailing Address - State:OH
Mailing Address - Zip Code:43416-9422
Mailing Address - Country:US
Mailing Address - Phone:567-219-2217
Mailing Address - Fax:
Practice Address - Street 1:348 RICE ST # 705
Practice Address - Street 2:
Practice Address - City:ELMORE
Practice Address - State:OH
Practice Address - Zip Code:43416-9422
Practice Address - Country:US
Practice Address - Phone:419-567-2635
Practice Address - Fax:419-754-2662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-28
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care