Provider Demographics
NPI:1598520918
Name:WEATHERBEE HOUSE INC.
Entity Type:Organization
Organization Name:WEATHERBEE HOUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHANELL
Authorized Official - Middle Name:GENEEN
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-402-0232
Mailing Address - Street 1:19 ARBOR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-1522
Mailing Address - Country:US
Mailing Address - Phone:501-402-0232
Mailing Address - Fax:
Practice Address - Street 1:19 ARBOR OAKS DR
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-1522
Practice Address - Country:US
Practice Address - Phone:501-402-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty