Organization
WESCARE PROFESSIONAL SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC M. PAGE Q (OPERATIONS MANAGER)
(336) 272-8335
Entity
Organization
Contact information
Practice address
1716 HAWKCREST LN, WINSTON SALEM, NC 27127-4869
(336) 272-8335
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
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418297
—
NC
Enumeration date
12/09/2015
Last updated
03/08/2016
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