Organization
WP WILDCAT, INC.
Active
Other names
SouthWest Home Care Integrity
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP DEWAYNE BURCHETT BSN, MBA (PRESIDENT, CHIEF OPERATING OFFICER)
(440) 666-1864
Entity
Organization
Contact information
Practice address
278 PROSPECT ST, BEREA, OH 44017-2461
(440) 243-5057
(440) 201-6333
Mailing address
278 PROSPECT ST, BEREA, OH 44017-2461
(440) 243-5057
(440) 201-6333
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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