Provider Demographics
NPI:1720875040
Name:WHAILL ENTERPRISE LLC
Entity type:Organization
Organization Name:WHAILL ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WHAILL
Authorized Official - Middle Name:MUTAWI
Authorized Official - Last Name:ABDALLAH
Authorized Official - Suffix:I
Authorized Official - Credentials:MBE
Authorized Official - Phone:602-475-4826
Mailing Address - Street 1:7050 W VILLA LINDO DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-3380
Mailing Address - Country:US
Mailing Address - Phone:602-475-4826
Mailing Address - Fax:
Practice Address - Street 1:3160 NE 156TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-5166
Practice Address - Country:US
Practice Address - Phone:971-440-8289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging