Healthcare Provider Details

I. General information

NPI: 1629211099
Provider Name (Legal Business Name): WW HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 10/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 14TH AVE S
ST PETERSBURG FL
33712-1936
US

IV. Provider business mailing address

3060 14TH AVE S
ST PETERSBURG FL
33712-1936
US

V. Phone/Fax

Practice location:
  • Phone: 727-327-1722
  • Fax: 727-327-1722
Mailing address:
  • Phone: 727-327-1722
  • Fax: 727-327-1722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number StateFL

VIII. Authorized Official

Name: DANIEL ERVIN DAVIS
Title or Position: DIRECTOR
Credential:
Phone: 727-327-1722