Provider Demographics
NPI:1417215054
Name:WILL2WALK HOMECARE SERVICES, LLC
Entity Type:Organization
Organization Name:WILL2WALK HOMECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-231-7256
Mailing Address - Street 1:287 W OXFORD LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-8753
Mailing Address - Country:US
Mailing Address - Phone:866-866-9707
Mailing Address - Fax:
Practice Address - Street 1:15550 N FRANK LLOYD WRIGHT BLVD
Practice Address - Street 2:UNIT 1041
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2025
Practice Address - Country:US
Practice Address - Phone:866-866-9707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care