Provider Demographics
NPI:1205950144
Name:AMANDA HEALTHCARE INC.
Entity type:Organization
Organization Name:AMANDA HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:U
Authorized Official - Last Name:NKWOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-561-8040
Mailing Address - Street 1:7027 PLAZA DEL SOL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-3210
Mailing Address - Country:US
Mailing Address - Phone:281-561-8040
Mailing Address - Fax:281-741-1944
Practice Address - Street 1:7027 PLAZA DEL SOL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-3210
Practice Address - Country:US
Practice Address - Phone:281-561-8040
Practice Address - Fax:281-741-1944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-17
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion