Provider Demographics
NPI:1336451103
Name:WALERAN ENTERPRISES, INC.
Entity type:Organization
Organization Name:WALERAN ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:W
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-236-5670
Mailing Address - Street 1:241 RIDGE ST
Mailing Address - Street 2:SUITE 330
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2069
Mailing Address - Country:US
Mailing Address - Phone:775-236-5670
Mailing Address - Fax:775-236-5671
Practice Address - Street 1:241 RIDGE ST
Practice Address - Street 2:SUITE 330
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2069
Practice Address - Country:US
Practice Address - Phone:775-236-5670
Practice Address - Fax:775-236-5671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health