Healthcare Provider Details

I. General information

NPI: 1275709081
Provider Name (Legal Business Name): WE CARE COMMUNITY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 MAYESVILLE RD
MORVEN NC
28119-9637
US

IV. Provider business mailing address

1122 MAYESVILLE RD
MORVEN NC
28119-9637
US

V. Phone/Fax

Practice location:
  • Phone: 704-465-0906
  • Fax: 704-826-6143
Mailing address:
  • Phone: 704-465-0906
  • Fax: 704-826-6143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. CORA POLK CASH
Title or Position: PRESIDENT
Credential:
Phone: 704-465-0906