Organization
MWANZO ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SAMMY WAFULA (CEO)
(484) 401-6223
Entity
Organization
Contact information
Practice address
131 JEFFORDS CT, PHOENIXVILLE, PA 19460-2842
(148) 440-1622
Mailing address
131 JEFFORDS CT, PHOENIXVILLE, PA 19460-2842
(148) 440-1622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/30/2024
Last updated
01/31/2024
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