Basic Information
| Provider Information | |||||||||
| NPI: | 1558498477 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | D&WHEALTH CARE SERVICES, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4100 NORTH BLVD | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708063911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2253876704 | ||||||||
| FaxNumber: | 2253831811 | ||||||||
| Practice Location | |||||||||
| Address1: | 4100 NORTH BLVD | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708063911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2253876704 | ||||||||
| FaxNumber: | 2253831811 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HENRY | ||||||||
| AuthorizedOfficialFirstName: | EVELYN | ||||||||
| AuthorizedOfficialMiddleName: | YVONNE | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 2253876704 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | NFA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 271 | LA | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
ID Information
| ID | Type | State | Issuer | Description | 1517674 | 05 | LA | MEDICAID |