Provider Demographics
NPI:1215533393
Name:WAFAACARE
Entity Type:Organization
Organization Name:WAFAACARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ESRAA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ABOUABDALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-521-9587
Mailing Address - Street 1:511 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-2713
Mailing Address - Country:US
Mailing Address - Phone:440-521-9587
Mailing Address - Fax:
Practice Address - Street 1:511 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2713
Practice Address - Country:US
Practice Address - Phone:440-521-9587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health