Healthcare Provider Details

I. General information

NPI: 1144546532
Provider Name (Legal Business Name): WHALE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2010
Last Update Date: 04/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4610 S ULSTER ST
DENVER CO
80237-4321
US

IV. Provider business mailing address

4610 S ULSTER ST
DENVER CO
80237-4321
US

V. Phone/Fax

Practice location:
  • Phone: 720-480-5514
  • Fax:
Mailing address:
  • Phone: 720-480-5514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM SHELTON HALE JR.
Title or Position: PRESIDENT
Credential: CST, CFA
Phone: 720-480-5514