| Organization Name: | WIDEN ENTERPRISES, INC. |
| NPI Number: | 1417321472 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IVAN WIDEN (PRESIDENT) |
| Mailing Address: | 100 Cherokee Blvd Suite 305 Chattanooga |
| State: | TN US |
| Postal Code: | 374053878 |
| Phone Number: | 4238260266 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2015 |
| NPI Last Update Date: | 11/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | I000000017286 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |