Provider Demographics
NPI:1699277087
Name:HAWLEY'S HEALTHCARE CONSULTING & PRODUCTS, LLC
Entity type:Organization
Organization Name:HAWLEY'S HEALTHCARE CONSULTING & PRODUCTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTHCARE CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LA KEEDA
Authorized Official - Middle Name:ROSHELL
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:855-525-3332
Mailing Address - Street 1:11822 HIGHWAY 84 W
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE HILL
Mailing Address - State:TX
Mailing Address - Zip Code:76678-1206
Mailing Address - Country:US
Mailing Address - Phone:855-525-3332
Mailing Address - Fax:
Practice Address - Street 1:11822 HIGHWAY 84 W
Practice Address - Street 2:
Practice Address - City:PRAIRIE HILL
Practice Address - State:TX
Practice Address - Zip Code:76678-1206
Practice Address - Country:US
Practice Address - Phone:855-525-3332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX710914163W00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty