Provider Demographics
NPI:1346688207
Name:WARREN PROCUREMENT & LOGISTICS
Entity Type:Organization
Organization Name:WARREN PROCUREMENT & LOGISTICS
Other - Org Name:HOME CARE ASSISTANCE WEST TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-349-6720
Mailing Address - Street 1:1607 SHELL AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-8642
Mailing Address - Country:US
Mailing Address - Phone:432-349-6720
Mailing Address - Fax:888-243-9359
Practice Address - Street 1:6415 N STATE HIGHWAY 349
Practice Address - Street 2:BLDG 13
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-2028
Practice Address - Country:US
Practice Address - Phone:432-349-6720
Practice Address - Fax:888-243-9359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN