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
203 WILSON ST, GRAHAM, NC 27253-2721
(336) 270-3644
(336) 272-8335
Mailing address
2704 N CHURCH ST, GREENSBORO, NC 27405-3657
(336) 272-8335
(336) 272-8339
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418297
—
NC
Enumeration date
03/11/2015
Last updated
03/11/2015
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