Provider Demographics
NPI:1891421889
Name:WILMINATA LLC
Entity type:Organization
Organization Name:WILMINATA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAWANATU
Authorized Official - Middle Name:
Authorized Official - Last Name:KONTEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-495-6799
Mailing Address - Street 1:2206 NASSAU DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-2831
Mailing Address - Country:US
Mailing Address - Phone:267-495-6799
Mailing Address - Fax:215-397-4196
Practice Address - Street 1:2243 S FELTON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-2305
Practice Address - Country:US
Practice Address - Phone:267-495-6799
Practice Address - Fax:215-397-4196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health