Provider Demographics
NPI:1548770647
Name:UNITED HEALTH-WEAR LLC
Entity Type:Organization
Organization Name:UNITED HEALTH-WEAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:LITTLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-855-0745
Mailing Address - Street 1:7840 EL CAJON BLVD STE 406
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-0619
Mailing Address - Country:US
Mailing Address - Phone:619-855-0745
Mailing Address - Fax:800-755-2139
Practice Address - Street 1:7840 EL CAJON BLVD STE 406
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-0619
Practice Address - Country:US
Practice Address - Phone:619-855-0745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies