Healthcare Provider Details

I. General information

NPI: 1376475442
Provider Name (Legal Business Name): WP HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 WILMINGTON AVE
DAYTON OH
45420-1989
US

IV. Provider business mailing address

10 EXECUTIVE BLVD STE 204
SUFFERN NY
10901-4169
US

V. Phone/Fax

Practice location:
  • Phone: 937-256-4663
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: EITAN LAGHAIE
Title or Position: VP OF HR
Credential:
Phone: 937-256-4663