Organization
WESCARE PROFESSIONAL SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC M. PAGE QP (OPERATIONS MANAGER)
(336) 272-8335
Entity
Organization
Contact information
Practice address
1407 E MEADOW RD, EDEN, NC 27288-3937
(336) 635-0073
Mailing address
2704 N CHURCH ST, GREENSBORO, NC 27405-3657
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-079-106
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-079-106
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418297
—
NC
Enumeration date
06/18/2013
Last updated
08/03/2015
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