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Organization
WESCARE PROFESSIONAL SERVICES, LLC.
Active
Organization
WESCARE PROFESSIONAL SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC M. PAGE (OPERATIONS MANAGER)
(336) 272-8335
Entity
Organization
Contact information
Practice address
221 BEDFORD DR, EDEN, NC 27288-2205
(336) 623-9116
Mailing address
10 OAK BRANCH DR STE A, GREENSBORO, NC 27407-2995
(336) 272-8335
(336) 272-8339
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-079-078
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-079-078
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-079-078
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603864
—
NC
Enumeration date
06/13/2013
Last updated
03/04/2016
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