Provider Demographics
NPI:1598383739
Name:ALLWISE CARE COMPANION INC
Entity Type:Organization
Organization Name:ALLWISE CARE COMPANION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WENDELL
Authorized Official - Middle Name:
Authorized Official - Last Name:USON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-803-1755
Mailing Address - Street 1:14299 POINTER LOOP
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3572
Mailing Address - Country:US
Mailing Address - Phone:951-479-5293
Mailing Address - Fax:951-330-7233
Practice Address - Street 1:14299 POINTER LOOP
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-3572
Practice Address - Country:US
Practice Address - Phone:951-479-5293
Practice Address - Fax:951-330-7233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility