Provider Demographics
NPI:1447578893
Name:WAU INC
Entity Type:Organization
Organization Name:WAU INC
Other - Org Name:1ST CHOICE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ANEES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-319-0394
Mailing Address - Street 1:8019 FRONT BEACH RD
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-4818
Mailing Address - Country:US
Mailing Address - Phone:850-588-4500
Mailing Address - Fax:
Practice Address - Street 1:8019 FRONT BEACH RD
Practice Address - Street 2:SUITE # 2
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-4818
Practice Address - Country:US
Practice Address - Phone:850-588-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health