Provider Demographics
NPI:1144546532
Name:WHALE, INC.
Entity type:Organization
Organization Name:WHALE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SHELTON
Authorized Official - Last Name:HALE
Authorized Official - Suffix:JR
Authorized Official - Credentials:CST, CFA
Authorized Official - Phone:720-480-5514
Mailing Address - Street 1:4610 S ULSTER ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-4321
Mailing Address - Country:US
Mailing Address - Phone:720-480-5514
Mailing Address - Fax:
Practice Address - Street 1:4610 S ULSTER ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-4321
Practice Address - Country:US
Practice Address - Phone:720-480-5514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-11
Last Update Date:2010-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care