Provider Demographics
NPI:1902068323
Name:WASHINGTON ENTERPRISES, LLC.
Entity Type:Organization
Organization Name:WASHINGTON ENTERPRISES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSJLS
Authorized Official - Phone:804-467-5270
Mailing Address - Street 1:10555 WOODMAN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-4471
Mailing Address - Country:US
Mailing Address - Phone:804-266-5855
Mailing Address - Fax:804-266-5571
Practice Address - Street 1:10555 WOODMAN RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-4471
Practice Address - Country:US
Practice Address - Phone:804-266-5855
Practice Address - Fax:804-266-5571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VASS-183-07251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management