Provider Demographics
NPI:1225740046
Name:WALK IN AND WIN, LLC
Entity Type:Organization
Organization Name:WALK IN AND WIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TIFARRAH
Authorized Official - Middle Name:EMMA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-306-4718
Mailing Address - Street 1:8862 GARDEN GROVE BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-1293
Mailing Address - Country:US
Mailing Address - Phone:657-263-4998
Mailing Address - Fax:
Practice Address - Street 1:15826 E QUEENSIDE DR
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-2227
Practice Address - Country:US
Practice Address - Phone:657-263-4998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility