Healthcare Provider Details
I. General information
NPI: 1942581905
Provider Name (Legal Business Name): WEEKS FAMILY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2011
Last Update Date: 09/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3003 S HIGHWAY 77 SUITE C
LYNN HAVEN FL
32444-5622
US
IV. Provider business mailing address
3003 S HIGHWAY 77 SUITE C
LYNN HAVEN FL
32444-5622
US
V. Phone/Fax
- Phone: 850-238-3270
- Fax: 850-238-3272
- Phone: 850-238-3270
- Fax: 850-238-3272
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | 232347 |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
NATHAN
ERIS
WEEKS
SR.
Title or Position: PRESIDENT
Credential:
Phone: 850-238-3270