Provider Demographics
NPI:1538383112
Name:CHARRY HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:CHARRY HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:IFEANYI
Authorized Official - Last Name:ELEDA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-475-1265
Mailing Address - Street 1:6102 SAN MARINO CT
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-4195
Mailing Address - Country:US
Mailing Address - Phone:972-475-1265
Mailing Address - Fax:972-412-2095
Practice Address - Street 1:6102 SAN MARINO CT
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-4195
Practice Address - Country:US
Practice Address - Phone:972-475-1265
Practice Address - Fax:972-412-2095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health