# WELLCARE FACILITY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740193572
- **Authorized official:** PAMELA S BROCK (OWNER)
- **Authorized official phone:** (346) 396-1252

## Contact information

- **Practice address:** 1451 MILLERS LN, WAVERLY, OH 45690-9188
- **Practice address phone:** (346) 396-1252
- **Mailing address:** 1451 MILLERS LN, WAVERLY, OH 45690-9188
- **Mailing address phone:** (346) 396-1252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QI0500X | Infusion Therapy Clinic/Center | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2026
- **Last updated:** 10/02/2026