Healthcare Provider Details

I. General information

NPI: 1801085220
Provider Name (Legal Business Name): WEE CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 11/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 AIRPORT RD
WINSTON SALEM NC
27105-4059
US

IV. Provider business mailing address

3050 AIRPORT RD
WINSTON SALEM NC
27105-4059
US

V. Phone/Fax

Practice location:
  • Phone: 336-529-1902
  • Fax:
Mailing address:
  • Phone: 336-529-1902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. GLORIA LOYD
Title or Position: DIRECTOR
Credential:
Phone: 336-529-1902