| NPI | 1598520918 |
|---|---|
| Former Legal Business Name | WEATHERBEE HOUSE INC. |
| Entity Type | Organization |
| Authorized Contact | SHANELL GENEEN TATE President 501-402-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |