Provider Demographics
NPI:1902785330
Name:WLR ENTERPRISE INC
Entity type:Organization
Organization Name:WLR ENTERPRISE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENATA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-850-6822
Mailing Address - Street 1:13775 HIGHWAY 57 STE 7
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:TN
Mailing Address - Zip Code:38057-3802
Mailing Address - Country:US
Mailing Address - Phone:888-295-4233
Mailing Address - Fax:
Practice Address - Street 1:13775 HIGHWAY 57 STE 7
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:TN
Practice Address - Zip Code:38057-3802
Practice Address - Country:US
Practice Address - Phone:888-295-4233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health