Healthcare Provider Details

I. General information

NPI: 1922755370
Provider Name (Legal Business Name): WE RISE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2022
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 VALLEY FORGE RD
ALLENTOWN PA
18104-1724
US

IV. Provider business mailing address

1724 VALLEY FORGE RD
ALLENTOWN PA
18104-1724
US

V. Phone/Fax

Practice location:
  • Phone: 186-220-5987
  • Fax:
Mailing address:
  • Phone: 186-220-5987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CHARLES DENNIS LEWIS
Title or Position: CEO
Credential:
Phone: 862-205-9870