Healthcare Provider Details
I. General information
NPI: 1114561362
Provider Name (Legal Business Name): WECARE TRANSPORT SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2019
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
376 RUGAR ST
PLATTSBURGH NY
12901-3106
US
IV. Provider business mailing address
19 CEDAR ST
MALONE NY
12953-1604
US
V. Phone/Fax
- Phone: 518-651-7499
- Fax:
- Phone: 518-651-6726
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALETHA
BABBIE
Title or Position: OWNER
Credential:
Phone: 518-651-6726