Provider Demographics
NPI:1740885342
Name:WEEKS HEALTHCARE INDUSTRY LLC
Entity type:Organization
Organization Name:WEEKS HEALTHCARE INDUSTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-652-3646
Mailing Address - Street 1:2701 W PICACHO AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007-4732
Mailing Address - Country:US
Mailing Address - Phone:575-652-3646
Mailing Address - Fax:575-680-2415
Practice Address - Street 1:2701 W PICACHO AVE STE 4
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-4732
Practice Address - Country:US
Practice Address - Phone:575-652-3646
Practice Address - Fax:575-680-2415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty