Healthcare Provider Details

I. General information

NPI: 1619348984
Provider Name (Legal Business Name): WE CARE ADULT SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2015
Last Update Date: 10/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 LARGO RD
UPPER MARLBORO MD
20774-8524
US

IV. Provider business mailing address

PO BOX 4642
CAPITOL HEIGHTS MD
20791-4642
US

V. Phone/Fax

Practice location:
  • Phone: 301-925-1515
  • Fax:
Mailing address:
  • Phone: 301-925-1515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateMD

VIII. Authorized Official

Name: MR. DENSON TERRY
Title or Position: CEO
Credential:
Phone: 240-676-2626