Healthcare Provider Details

I. General information

NPI: 1255045415
Provider Name (Legal Business Name): WECARE HEALTH CLINIC GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2023
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7058 CORPORATE WAY STE 3
DAYTON OH
45459-4243
US

IV. Provider business mailing address

7058 CORPORATE WAY STE 3
DAYTON OH
45459-4243
US

V. Phone/Fax

Practice location:
  • Phone: 937-991-0080
  • Fax:
Mailing address:
  • Phone: 937-991-0080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACHELE SMIH
Title or Position: MANAGER
Credential:
Phone: 513-377-9374