Provider Demographics
NPI:1679701759
Name:AMANDA S WHITEHEAD
Entity Type:Organization
Organization Name:AMANDA S WHITEHEAD
Other - Org Name:WPR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:SPENCER
Authorized Official - Last Name:WHITEHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-531-1506
Mailing Address - Street 1:1479 ROCKFISH RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-6309
Mailing Address - Country:US
Mailing Address - Phone:540-288-4227
Mailing Address - Fax:540-808-0609
Practice Address - Street 1:1479 ROCKFISH RD
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-6309
Practice Address - Country:US
Practice Address - Phone:540-288-4227
Practice Address - Fax:540-808-0609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty