Provider Demographics
NPI:1679926562
Name:WHITMORE INTERNATIONAL LLC
Entity Type:Organization
Organization Name:WHITMORE INTERNATIONAL LLC
Other - Org Name:WHITMORE CARES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-249-5726
Mailing Address - Street 1:8626 W GREENFIELD AVE
Mailing Address - Street 2:A-200
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53214-4377
Mailing Address - Country:US
Mailing Address - Phone:414-249-5726
Mailing Address - Fax:
Practice Address - Street 1:8626 W GREENFIELD AVE
Practice Address - Street 2:A-200
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53214-4377
Practice Address - Country:US
Practice Address - Phone:414-249-5726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management