Healthcare Provider Details

I. General information

NPI: 1912366311
Provider Name (Legal Business Name): WE CARE MINISTRIES OUTREACH PROGRAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1754 TEXAS ST
NATCHITOCHES LA
71457-3429
US

IV. Provider business mailing address

1746 TEXAS ST
NATCHITOCHES LA
71457-3429
US

V. Phone/Fax

Practice location:
  • Phone: 318-352-5961
  • Fax: 318-352-5965
Mailing address:
  • Phone: 318-352-5961
  • Fax: 318-352-5965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number2203782331
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number2203782353
License Number StateLA

VIII. Authorized Official

Name: RYAN COX
Title or Position: COO
Credential:
Phone: 318-236-2000