Provider Demographics
NPI:1982356374
Name:WIZE HEART SERVICES LLC
Entity Type:Organization
Organization Name:WIZE HEART SERVICES LLC
Other - Org Name:WIZE HEALTHCARE AND LOGISTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:CHIBUDIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:IGWEGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-439-7544
Mailing Address - Street 1:1352 QUEENS BROOK LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-5745
Mailing Address - Country:US
Mailing Address - Phone:469-439-7544
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:2305 OAK LANE, BUILDING 4A,
Practice Address - Street 2:SUITE 209
Practice Address - City:GRAND PRAIRI
Practice Address - State:TX
Practice Address - Zip Code:75051
Practice Address - Country:US
Practice Address - Phone:469-439-7544
Practice Address - Fax:000-000-0000
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WIZE HEART SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-26
Last Update Date:2023-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)