Provider Demographics
NPI:1548005812
Name:RIGHT WAVE VENTURE
Entity type:Organization
Organization Name:RIGHT WAVE VENTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:NDZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:669-205-2241
Mailing Address - Street 1:821 HILLOCK DR
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-5675
Mailing Address - Country:US
Mailing Address - Phone:669-205-2241
Mailing Address - Fax:
Practice Address - Street 1:821 HILLOCK DR
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5675
Practice Address - Country:US
Practice Address - Phone:669-205-2241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based