Provider Demographics
NPI:1144828997
Name:VESSEL OF HONOUR HEALTH CARE VENTURES
Entity type:Organization
Organization Name:VESSEL OF HONOUR HEALTH CARE VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAMUDU
Authorized Official - Suffix:
Authorized Official - Credentials:MD/CEO
Authorized Official - Phone:804-503-3031
Mailing Address - Street 1:4222 BONNIEBANK RD STE 203
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-6632
Mailing Address - Country:US
Mailing Address - Phone:804-503-3031
Mailing Address - Fax:
Practice Address - Street 1:4222 BONNIEBANK RD STE 203
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-6632
Practice Address - Country:US
Practice Address - Phone:804-503-3031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty