Healthcare Provider Details

I. General information

NPI: 1821329707
Provider Name (Legal Business Name): WENDY STRICKLER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2010
Last Update Date: 01/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 DEER MEADOW RD
EAST HARWICH MA
02645-2239
US

IV. Provider business mailing address

4 DEER MEADOW RD
EAST HARWICH MA
02645-2239
US

V. Phone/Fax

Practice location:
  • Phone: 774-237-7355
  • Fax: 774-237-7355
Mailing address:
  • Phone: 774-237-7355
  • Fax: 774-237-7355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7493
License Number StateMA

VIII. Authorized Official

Name: MRS. WENDY DIANE STRICKLER
Title or Position: HEALTHCARE PROVIDER
Credential: L.P.N.
Phone: 774-237-7355