Provider Demographics
NPI:1629702774
Name:STOP WIPE AND GO, LLC
Entity Type:Organization
Organization Name:STOP WIPE AND GO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-998-8773
Mailing Address - Street 1:9103 BERRY PATCH DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-7585
Mailing Address - Country:US
Mailing Address - Phone:804-399-1799
Mailing Address - Fax:804-276-1799
Practice Address - Street 1:9103 BERRY PATCH DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-7585
Practice Address - Country:US
Practice Address - Phone:804-399-1799
Practice Address - Fax:804-276-1799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care