Provider Demographics
NPI:1235433053
Name:WINNERS WELLNESS SERVICES, INC.
Entity Type:Organization
Organization Name:WINNERS WELLNESS SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:
Authorized Official - Last Name:IROHA
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:469-682-6532
Mailing Address - Street 1:18601 LBJ FWY STE 620
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-5615
Mailing Address - Country:US
Mailing Address - Phone:469-682-6532
Mailing Address - Fax:972-222-9226
Practice Address - Street 1:18601 LBJ FWY STE 620
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-5615
Practice Address - Country:US
Practice Address - Phone:469-682-6532
Practice Address - Fax:972-222-9226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-08
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
TX014585251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health