# MWANZO ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891558284
- **Authorized official:** DR. ROBERT SAMMY WAFULA (CEO)
- **Authorized official phone:** (484) 401-6223

## Contact information

- **Practice address:** 131 JEFFORDS CT, PHOENIXVILLE, PA 19460-2842
- **Practice address phone:** (148) 440-1622
- **Mailing address:** 131 JEFFORDS CT, PHOENIXVILLE, PA 19460-2842
- **Mailing address phone:** (148) 440-1622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/30/2024
- **Last updated:** 01/31/2024