Provider Demographics
NPI:1245795772
Name:2 WELCOMING ARMS LLC
Entity Type:Organization
Organization Name:2 WELCOMING ARMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-985-7959
Mailing Address - Street 1:PO BOX 881375
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34988-1375
Mailing Address - Country:US
Mailing Address - Phone:772-985-7959
Mailing Address - Fax:
Practice Address - Street 1:4022 SW BAMBERG ST
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-7029
Practice Address - Country:US
Practice Address - Phone:772-882-0426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health