MEDICARE: THE WILCHER CORPORATION

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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1689951576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WILCHER CORPORATION

Provider Business Mailing Address
First Line	:	8157 LEIGH ANN DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-4907
Country	:	US
Telephone Number	:	972-228-4550
Fax Number	:	972-228-4780

Provider Business Practice Location Address
First Line	:	8157 LEIGH ANN DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-4907
Country	:	US
Telephone Number	:	972-228-4550
Fax Number	:	972-228-4780

Authorized Official
Title or Position	:	OWNER/VICE PRESIDENT OF OPERATIONS
Name	:	MRS. MACHERLD JA'NET PEARSON
Credential	:
Telephone Number	:	972-228-4550

Provider Enumeration Date	:	11/07/2011
Last Update Date	:	11/07/2011

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Directions to “THE WILCHER CORPORATION ” Practice Location

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