Provider Demographics
NPI:1083910566
Name:WAMO HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:WAMO HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:WANEKE
Authorized Official - Last Name:MWANGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-818-6342
Mailing Address - Street 1:1292 EARLY BLUE LN
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-2019
Mailing Address - Country:US
Mailing Address - Phone:714-818-6342
Mailing Address - Fax:951-846-3574
Practice Address - Street 1:1292 EARLY BLUE LN
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-2019
Practice Address - Country:US
Practice Address - Phone:714-818-6342
Practice Address - Fax:951-846-3574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care