Provider Demographics
NPI:1497496541
Name:CAREWAY HEALTHCARE STAFFING LLC
Entity Type:Organization
Organization Name:CAREWAY HEALTHCARE STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-223-2169
Mailing Address - Street 1:13180 N CLEVELAND AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-6231
Mailing Address - Country:US
Mailing Address - Phone:239-689-7722
Mailing Address - Fax:
Practice Address - Street 1:13180 N CLEVELAND AVE STE 306
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-6231
Practice Address - Country:US
Practice Address - Phone:239-689-7722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care