Wescare Professional Services, LLC.
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Eden, NC
NPI 1306384391 · NPPES record last updated Feb 9, 2017
Key facts
- NPI
- 1306384391
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- WESCARE PROFESSIONAL SERVICES, LLC.
- Practice address
- 115 Boyd St
Eden, NC 27288-4630 - Phone
- (336) 272-8335
- NPI assigned
- Feb 9, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Eric Page, QP
- Title
- Operations Manager
- Phone
- (336) 272-8335
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Wescare Professional Services LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
115 Boyd St
Eden, NC 27288-4630
Mailing address
10 Oak Branch Dr Ste a
Greensboro, NC 27407-2995
Phone (336) 272-8335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418297 | Medicaid | NC |
Other providers in Eden, NC
- Melissa Haley Walton
- Trey Washington
- Krystal Mashay Watkins
- Lauren Faith Watkins
- Wescare Professional Services, LLC.
- Wescare Professional Services, LLC.
- Wescare Professional Services, LLC.
- Ann Marie White
- Allison Nicole Williams
- Darnell Hubert Williams III
All providers in Eden, NC · Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.