Provider Demographics
NPI:1942634738
Name:RLW ENTERPRISES
Entity Type:Organization
Organization Name:RLW ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSUEL
Authorized Official - Middle Name:LAVOR
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-763-1539
Mailing Address - Street 1:3264 COREY DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39212-4111
Mailing Address - Country:US
Mailing Address - Phone:225-763-1539
Mailing Address - Fax:
Practice Address - Street 1:3264 COREY DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39212-4111
Practice Address - Country:US
Practice Address - Phone:225-763-1539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health