Provider Demographics
NPI:1942726245
Name:WLH, LLC
Entity Type:Organization
Organization Name:WLH, LLC
Other - Org Name:FRONT RANGE PALLIATIVE CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:303-957-3101
Mailing Address - Street 1:3770 PURITAN WAY UNIT E
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80516-9463
Mailing Address - Country:US
Mailing Address - Phone:303-957-3101
Mailing Address - Fax:303-957-3113
Practice Address - Street 1:3770 PURITAN WAY UNIT E
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80516-9463
Practice Address - Country:US
Practice Address - Phone:303-957-3101
Practice Address - Fax:303-957-3113
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WLH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17C957207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty