Healthcare Provider Details

I. General information

NPI: 1033654280
Provider Name (Legal Business Name): NATORI HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2016
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 N GOVERNORS AVE
DOVER DE
19904-3005
US

IV. Provider business mailing address

353 N GOVERNORS AVE
DOVER DE
19904-3005
US

V. Phone/Fax

Practice location:
  • Phone: 302-363-5769
  • Fax: 410-531-9533
Mailing address:
  • Phone: 302-363-5769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number2016603303
License Number StateDE

VIII. Authorized Official

Name: NGOZI RUTH AGWUNA
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 410-772-9463