Provider Demographics
NPI:1598392656
Name:WINDWOOD HEALTHCARE, LLC
Entity Type:Organization
Organization Name:WINDWOOD HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:GUERRIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-650-2636
Mailing Address - Street 1:1821 WINDWOOD DR W
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4053
Mailing Address - Country:US
Mailing Address - Phone:504-650-2636
Mailing Address - Fax:251-660-4419
Practice Address - Street 1:1821 WINDWOOD DR W
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-4053
Practice Address - Country:US
Practice Address - Phone:504-650-2636
Practice Address - Fax:251-660-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care