Provider Demographics
NPI:1578900551
Name:WALKERCARE LLC
Entity Type:Organization
Organization Name:WALKERCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAVINAH
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:585-820-5032
Mailing Address - Street 1:2657 LENOX RD NE UNIT K154
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3191
Mailing Address - Country:US
Mailing Address - Phone:585-820-5032
Mailing Address - Fax:
Practice Address - Street 1:2657 LENOX RD NE UNIT K154
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3191
Practice Address - Country:US
Practice Address - Phone:585-820-5032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health