Organization Name: | WEAVERS BUSINESS SERVICES INC |
NPI Number: | 1104171420 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA B WEAVER (PRESIDENT) |
Mailing Address: | 104 E Telephone St 104 E Telephone St Sylvania |
State: | GA US |
Postal Code: | 304671959 |
Phone Number: | 9125642513 |
Fax Number: | 9125642750 |
NPI Enumeration Date: | 07/24/2012 |
NPI Last Update Date: | 07/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |