Provider Demographics
NPI:1992165625
Name:COMPASSIONATE WORKS LLC
Entity type:Organization
Organization Name:COMPASSIONATE WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:MONETA
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-607-7143
Mailing Address - Street 1:210 FIELDSTOWN RD
Mailing Address - Street 2:SUITE 100 #475
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2408
Mailing Address - Country:US
Mailing Address - Phone:205-582-9926
Mailing Address - Fax:205-518-0244
Practice Address - Street 1:1046 HALLMARK RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35214-2722
Practice Address - Country:US
Practice Address - Phone:205-582-9926
Practice Address - Fax:205-518-0244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care