Provider Demographics
NPI:1235539578
Name:WALKARS HOME RELIEF SERVICES
Entity Type:Organization
Organization Name:WALKARS HOME RELIEF SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HANSBROUGH WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-264-3550
Mailing Address - Street 1:PO BOX 911
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48311-0911
Mailing Address - Country:US
Mailing Address - Phone:586-264-3550
Mailing Address - Fax:
Practice Address - Street 1:36830 SAMOA DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-3054
Practice Address - Country:US
Practice Address - Phone:586-264-3550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health