Healthcare Provider Details

I. General information

NPI: 1932979176
Provider Name (Legal Business Name): WELFARE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15106 W SELLS DR
GOODYEAR AZ
85395-7702
US

IV. Provider business mailing address

15106 W SELLS DR
GOODYEAR AZ
85395-7702
US

V. Phone/Fax

Practice location:
  • Phone: 919-455-6207
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: VIVIAN ABARAONYE
Title or Position: OWNER
Credential:
Phone: 919-455-6207