Organization Name: | WARTA ENTERPRISE, INC. |
NPI Number: | 1134468903 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID WARTA (GENERAL MANAGER) |
Mailing Address: | 120 E 12th St Tracy |
State: | CA US |
Postal Code: | 953763604 |
Phone Number: | 2098321333 |
Fax Number: | 2098321118 |
NPI Enumeration Date: | 02/13/2013 |
NPI Last Update Date: | 02/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 63710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |