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
4915 ELLEN AVE, PFAFFTOWN, NC 27040-9740
(336) 210-3402
(336) 272-8339
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
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418297
—
NC
Enumeration date
03/19/2014
Last updated
08/03/2015
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