Provider Demographics
NPI:1508315177
Name:W.A.I.T (WE'RE IN THIS TOGETHER)
Entity Type:Organization
Organization Name:W.A.I.T (WE'RE IN THIS TOGETHER)
Other - Org Name:NONE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KAPALE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-251-5344
Mailing Address - Street 1:18383 GALLERY DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-7930
Mailing Address - Country:US
Mailing Address - Phone:210-251-5344
Mailing Address - Fax:
Practice Address - Street 1:18383 GALLERY DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-7930
Practice Address - Country:US
Practice Address - Phone:210-251-5344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances