| The Puppy Water Entertainment Foundation | |
|
609 Deep Valley Dr # 200057 Rolling Hills Estates CA 90274-3629 | |
| (424) 279-3898 | |
| (949) 695-3114 |
| Full Name | The Puppy Water Entertainment Foundation |
|---|---|
| Speciality | Counselor |
| Location | 609 Deep Valley Dr # 200057, Rolling Hills Estates, California |
| Authorized Official Name and Position | Princess Okieme (PRESIDENT) |
| Authorized Official Contact | 4242793898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Puppy Water Entertainment Foundation 609 Deep Valley Dr Ste 200-057 Rolling Hills Estates CA 90274-3629 Ph: (424) 279-3898 | The Puppy Water Entertainment Foundation 609 Deep Valley Dr # 200057 Rolling Hills Estates CA 90274-3629 Ph: (424) 279-3898 |
| NPI Number | 1811454218 |
|---|---|
| Provider Enumeration Date | 02/22/2019 |
| Last Update Date | 05/04/2024 |
| Certification Date | 05/04/2024 |
| Medicare PECOS PAC ID | 7416493705 |
|---|---|
| Medicare Enrollment ID | O20240723002330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811454218 | NPI | - | NPPES |
| Provider Name | Princess O Okieme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639643323 PECOS PAC ID: 7911372768 Enrollment ID: I20230407001461 |
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