Provider Demographics
NPI:1033341797
Name:GW HOMECARE INC.
Entity Type:Organization
Organization Name:GW HOMECARE INC.
Other - Org Name:GEORGE WASHINGTON HOME HEALTH CARE AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CORDELIA
Authorized Official - Middle Name:OBIAGELI
Authorized Official - Last Name:NWONWU
Authorized Official - Suffix:
Authorized Official - Credentials:MD&RN(BOTH ELIGIBLE)
Authorized Official - Phone:202-388-1124
Mailing Address - Street 1:2413 BENNING RD NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4827
Mailing Address - Country:US
Mailing Address - Phone:202-388-1124
Mailing Address - Fax:
Practice Address - Street 1:2413 BENNING RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4827
Practice Address - Country:US
Practice Address - Phone:202-388-1124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health