Provider Demographics
NPI:1457033557
Name:BWIZA CARE LLC
Entity type:Organization
Organization Name:BWIZA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSAFIRI
Authorized Official - Suffix:
Authorized Official - Credentials:PIERRE MUSAFIRI
Authorized Official - Phone:207-240-7179
Mailing Address - Street 1:182 EAST AVE
Mailing Address - Street 2:APT #1
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240
Mailing Address - Country:US
Mailing Address - Phone:120-724-0717
Mailing Address - Fax:207-240-7179
Practice Address - Street 1:182 EAST AVE
Practice Address - Street 2:APT #1
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240
Practice Address - Country:US
Practice Address - Phone:120-724-0717
Practice Address - Fax:207-240-7179
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BWIZA CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care