Provider Demographics
NPI:1528225919
Name:WONDER WORKING POWER HEALTH CARE
Entity Type:Organization
Organization Name:WONDER WORKING POWER HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-508-7830
Mailing Address - Street 1:2767 SGT ALFRED DR STE7
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-4012
Mailing Address - Country:US
Mailing Address - Phone:985-649-8449
Mailing Address - Fax:985-649-8149
Practice Address - Street 1:2767 SGT ALFRED DR STE7
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-4012
Practice Address - Country:US
Practice Address - Phone:985-649-8449
Practice Address - Fax:985-649-8149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty