Healthcare Provider Details

I. General information

NPI: 1447688593
Provider Name (Legal Business Name): WECARE4HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2013
Last Update Date: 10/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25601 N LAKELAND BLVD
EUCLID OH
44132-2442
US

IV. Provider business mailing address

25601 N LAKELAND BLVD
EUCLID OH
44132-2442
US

V. Phone/Fax

Practice location:
  • Phone: 216-288-7727
  • Fax:
Mailing address:
  • Phone: 216-288-7727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DARNELL LAMONT SPENCER
Title or Position: STNA
Credential:
Phone: 216-288-7727