Provider Demographics
NPI:1174308936
Name:MW HOMECARE SERVICES
Entity type:Organization
Organization Name:MW HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ALWALEED
Authorized Official - Middle Name:
Authorized Official - Last Name:ATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-380-6333
Mailing Address - Street 1:7601 E VON DETTE CIR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-5037
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7601 E VON DETTE CIR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-5037
Practice Address - Country:US
Practice Address - Phone:937-380-6333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care