Healthcare Provider Details

I. General information

NPI: 1407671159
Provider Name (Legal Business Name): SEKATI HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 WHITEWOOD RD # A
MILFORD MA
01757-1300
US

IV. Provider business mailing address

12 WHITEWOOD RD # A
MILFORD MA
01757-1300
US

V. Phone/Fax

Practice location:
  • Phone: 508-816-4036
  • Fax:
Mailing address:
  • Phone: 508-816-4036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VILLEROY TAH
Title or Position: ADMINISTRATOR/DON
Credential: DR
Phone: 508-816-4036