Healthcare Provider Details
I. General information
NPI: 1669128187
Provider Name (Legal Business Name): EAMO HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2022
Last Update Date: 02/23/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19821 NW 2ND AVE # 375
MIAMI GARDENS FL
33169-3341
US
IV. Provider business mailing address
1201 N MARKET ST STE 1404
WILMINGTON DE
19801-1163
US
V. Phone/Fax
- Phone: 786-865-7670
- Fax:
- Phone: 868-657-6707
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MERCY
JUMWA
NYAMOKOH
Title or Position: PRESIDENT
Credential: RN,PN
Phone: 302-565-7528