Provider Demographics
NPI:1689238131
Name:WHISPERING SHADOW CARE, LLC
Entity Type:Organization
Organization Name:WHISPERING SHADOW CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAEBELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-209-3295
Mailing Address - Street 1:PO BOX 7452
Mailing Address - Street 2:
Mailing Address - City:SHONTO
Mailing Address - State:AZ
Mailing Address - Zip Code:86054-7452
Mailing Address - Country:US
Mailing Address - Phone:928-209-3295
Mailing Address - Fax:888-809-1637
Practice Address - Street 1:HWY 98 ROUTE 6320 MP 1
Practice Address - Street 2:
Practice Address - City:SHONTO
Practice Address - State:AZ
Practice Address - Zip Code:86054-8605
Practice Address - Country:US
Practice Address - Phone:928-209-3295
Practice Address - Fax:888-809-1637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health