Provider Demographics
NPI:1760202592
Name:ENRICHED DRIP, LLC
Entity type:Organization
Organization Name:ENRICHED DRIP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:585-317-3914
Mailing Address - Street 1:1169 BALLYSHANNON PKWY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-8685
Mailing Address - Country:US
Mailing Address - Phone:585-317-3914
Mailing Address - Fax:
Practice Address - Street 1:1169 BALLYSHANNON PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-8685
Practice Address - Country:US
Practice Address - Phone:585-317-3914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251F00000XAgenciesHome Infusion
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty