Provider Demographics
NPI:1205211646
Name:UNIVERSAL HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:UNIVERSAL HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:WAIYAKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-258-5007
Mailing Address - Street 1:130 PARKER ST
Mailing Address - Street 2:UNIT 01
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1556
Mailing Address - Country:US
Mailing Address - Phone:978-258-5007
Mailing Address - Fax:978-655-3481
Practice Address - Street 1:130 PARKER ST
Practice Address - Street 2:UNIT 01
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1556
Practice Address - Country:US
Practice Address - Phone:978-258-5007
Practice Address - Fax:978-655-3481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health