Healthcare Provider Details

I. General information

NPI: 1720785876
Provider Name (Legal Business Name): HOWLE ENTERPRISES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2023
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14321 WINTER BREEZE DR STE 54
MIDLOTHIAN VA
23113-2452
US

IV. Provider business mailing address

14321 WINTER BREEZE DR STE 54
MIDLOTHIAN VA
23113-2452
US

V. Phone/Fax

Practice location:
  • Phone: 804-584-7251
  • Fax:
Mailing address:
  • Phone: 804-584-7251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BRANNON HOWLE
Title or Position: OWNER/CEO
Credential:
Phone: 804-584-7251