Provider Demographics
NPI:1568127736
Name:ATWELL HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:ATWELL HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:954-451-7409
Mailing Address - Street 1:1177 HYPOLUXO RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-4244
Mailing Address - Country:US
Mailing Address - Phone:954-451-7409
Mailing Address - Fax:
Practice Address - Street 1:1177 HYPOLUXO RD STE 105
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-4244
Practice Address - Country:US
Practice Address - Phone:954-451-7409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health