Organization
WESCARE PROFESSIONAL SERVICES, LLC.
Active
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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