=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598233488
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MELODY NOW ENTERPRISES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/08/2018
-----------------------------------------------------
Last Update Date | 11/08/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 110 GREENTREE RD STE C
-----------------------------------------------------
City | TURNERSVILLE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08012-1572
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-426-2777
-----------------------------------------------------
Fax | 856-530-0691
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 110 GREENTREE RD STE C
-----------------------------------------------------
City | TURNERSVILLE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08012-1572
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-426-2777
-----------------------------------------------------
Fax | 856-530-0691
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ACCOUNT MANAGER
-----------------------------------------------------
Name | DAPHNE STEVENS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 856-426-2777
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------