Organization
WE CARE LIFESOURCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVONDA MOORE HARGROVE (PRESIDENT)
(813) 766-0863
Entity
Organization
Contact information
Practice address
1004 E DR MARTIN LUTHER KING JR BLVD, PLANT CITY, FL 33563-5712
(813) 766-0863
Mailing address
1004 E DR MARTIN LUTHER KING JR BLVD, PLANT CITY, FL 33563-5712
(813) 766-0863
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
320900000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6932215 96
—
FL
05
—
6932215 98
—
FL
Enumeration date
06/06/2008
Last updated
06/06/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up