NPI | 1720588221 |
---|---|
Doing Business As | EMINENCE HEALTH & NOTARY SERVICES |
Entity Type | Organization |
Authorized Contact | HEIDI DAVONNE BROWN Owner, Md, CEO 866-350-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27075427A) |
261QH0100X Clinic/Center Health Service | |
305S00000X Point of Service | |
332900000X Non-Pharmacy Dispensing Site | |
332B00000X Durable Medical Equipment & Medical Supplies | |
347C00000X Private Vehicle | |
385H00000X Respite Care | |
Enumeration Date | 2018-02-20 |
Last Update Date | 2021-08-22 |