Provider Demographics
NPI:1811400146
Name:WESAP LLC
Entity Type:Organization
Organization Name:WESAP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOSENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASRAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-286-0778
Mailing Address - Street 1:14404 WESTMEATH DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-6893
Mailing Address - Country:US
Mailing Address - Phone:301-604-4201
Mailing Address - Fax:301-604-4202
Practice Address - Street 1:14404 WESTMEATH DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-6893
Practice Address - Country:US
Practice Address - Phone:301-604-4201
Practice Address - Fax:301-604-4202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDW17918319OtherHOME CARE