Organization
WESCARE PROFESSIONAL SERVICES, LLC.
Active
Other names
McTavish Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MICHAEL PAGE (OPERATIONS MANAGER)
(336) 272-8335
Entity
Organization
Contact information
Practice address
236 MCTAVISH LN, WINSTON SALEM, NC 27103
(336) 448-5676
(336) 272-8339
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
251S00000X
Community/Behavioral Health Agency
MHL-034-329
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-034-329
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418297
—
NC
01
—
MHL-034-329
LICENSE
NC
Enumeration date
09/24/2014
Last updated
07/03/2018
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