Healthcare Provider Details

I. General information

NPI: 1942734843
Provider Name (Legal Business Name): NATORI HOMECARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2017
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:
Mailing address:
  • Phone: 302-363-5769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateDE

VIII. Authorized Official

Name: MRS. NGOZI RUTH AGWUNA
Title or Position: OWNER/MANAGER
Credential: MDFAAP
Phone: 443-956-1239