MEDICARE: WE UP HOME HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1144619016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE UP HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	2909 PEACHTREE RD; NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305
Country	:	US
Telephone Number	:	770-687-9445
Fax Number	:

Provider Business Practice Location Address
First Line	:	2909 PEACHTREE RD; NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305
Country	:	US
Telephone Number	:	770-687-9445
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MS. MCKEISHA L WASHINGTON
Credential	:	MS
Telephone Number	:	770-687-9445

Provider Enumeration Date	:	01/15/2015
Last Update Date	:	01/15/2015

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