Healthcare Provider Details

I. General information

NPI: 1275587834
Provider Name (Legal Business Name): WES CORPORATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

696 DAVIS ST
LAMAR SC
29069-9132
US

IV. Provider business mailing address

696 DAVIS ST P.O. BOX 1064
LAMAR SC
29069-9132
US

V. Phone/Fax

Practice location:
  • Phone: 843-326-5042
  • Fax: 843-326-5641
Mailing address:
  • Phone: 843-326-5042
  • Fax: 843-326-5641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberADC-256
License Number StateSC

VIII. Authorized Official

Name: MRS. JACQUELINE D. WRIGHT
Title or Position: VICE-PRESIDENT
Credential:
Phone: 843-326-5042