=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790026342
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WEEMIKO CARE FIRST
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2013
-----------------------------------------------------
Last Update Date | 03/06/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 138 FOUNDERS WAY
-----------------------------------------------------
City | STRASBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22657-3772
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-233-0662
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 138 FOUNDERS WAY
-----------------------------------------------------
City | STRASBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22657-3772
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-233-0662
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLIENT RELATIONS
-----------------------------------------------------
Name | MRS. ALETHIA UWANDU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 866-816-9036
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------