Healthcare Provider Details

I. General information

NPI: 1174839138
Provider Name (Legal Business Name): WEKARE PLACEMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 08/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 COVINGTON HWY
DECATUR GA
30035-1214
US

IV. Provider business mailing address

4441 COVINGTON HWY
DECATUR GA
30035-1214
US

V. Phone/Fax

Practice location:
  • Phone: 404-284-6188
  • Fax: 404-288-8883
Mailing address:
  • Phone: 404-284-6188
  • Fax: 404-288-8883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number044-R-0019
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. VERLEE FOWLER
Title or Position: CEO
Credential:
Phone: 404-284-6188