Wescare Professional Services, LLC.
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Browns Summit, NC
NPI 1407258189 · NPPES record last updated Aug 3, 2015
Key facts
- NPI
- 1407258189
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- License
- MHL-041-1104 (NC)
- Legal business name
- WESCARE PROFESSIONAL SERVICES, LLC.
- Practice address
- 2813 Lees Chapel Rd
Browns Summit, NC 27214-9615 - Phone
- (336) 938-0214
- Fax
- (336) 272-8339
- NPI assigned
- Sep 24, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Eric M. 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
Locations
2813 Lees Chapel Rd
Browns Summit, NC 27214
Phone (336) 938-0214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL-041-1104 | NC | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MHL-041-1104 | NC | Yes |
Addresses
Primary practice location
2813 Lees Chapel Rd
Browns Summit, NC 27214-9615
Mailing address
2704 N Church St
Greensboro, NC 27405-3657
Phone (336) 272-8335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418297 | Medicaid | NC |
Other providers in Browns Summit, NC
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- Naima Tryman
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- Daniele Vest
- Karen Elizabeth Wallace
- Felicia Williams-Cobbs
- Crystal Dawn Williamson
- Without Borders Collective PLLC
- Jazmon Womack
- Ashley Woods
All providers in Browns Summit, NC · Mental Illness Community Based 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 Aug 3, 2015. 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.