Provider Demographics
NPI:1811321730
Name:WELATON CONSULTING LLC
Entity type:Organization
Organization Name:WELATON CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-323-7718
Mailing Address - Street 1:142 BLUELAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-9625
Mailing Address - Country:US
Mailing Address - Phone:912-495-7343
Mailing Address - Fax:
Practice Address - Street 1:142 BLUELAKE BLVD
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-9625
Practice Address - Country:US
Practice Address - Phone:912-495-7343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA025-R-1196251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care