Provider Demographics
NPI:1144795675
Name:WY CARSON COMPANY
Entity Type:Organization
Organization Name:WY CARSON COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WINIFRED
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CARSON-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:202-239-8711
Mailing Address - Street 1:1937 11TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-4113
Mailing Address - Country:US
Mailing Address - Phone:502-239-8711
Mailing Address - Fax:202-827-3456
Practice Address - Street 1:1937 11TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-4113
Practice Address - Country:US
Practice Address - Phone:502-239-8711
Practice Address - Fax:202-827-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty