Provider Demographics
NPI:1962735241
Name:HWE ENTERPRISES, LLC
Entity type:Organization
Organization Name:HWE ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:863-825-6008
Mailing Address - Street 1:1643 WILLIAMSBURG SQ
Mailing Address - Street 2:SUITE E
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-4279
Mailing Address - Country:US
Mailing Address - Phone:863-825-6008
Mailing Address - Fax:863-825-6009
Practice Address - Street 1:1643 WILLIAMSBURG SQ
Practice Address - Street 2:SUITE E
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-4279
Practice Address - Country:US
Practice Address - Phone:863-825-6008
Practice Address - Fax:863-825-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231207251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health