Organization
WESCARE PROFESSIONAL SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MICHAEL PAGE QP (OPERATIONS MANAGER)
(336) 272-8335
Entity
Organization
Contact information
Practice address
1080 WALDEN RD, ASHEBORO, NC 27205-1544
(336) 736-8627
(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
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-076-129
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-076-129
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418297
—
NC
Enumeration date
03/29/2018
Last updated
03/29/2018
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