Healthcare Provider Details

I. General information

NPI: 1558814947
Provider Name (Legal Business Name): WE CARE TRANSPORTAION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 08/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4610 BOYDTON PLANK RD
NORTH DINWIDDIE VA
23803-6532
US

IV. Provider business mailing address

PO BOX 219
SUTHERLAND VA
23885-0219
US

V. Phone/Fax

Practice location:
  • Phone: 804-861-9165
  • Fax:
Mailing address:
  • Phone: 804-861-9165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number18
License Number StateVA

VIII. Authorized Official

Name: MS. DEBERA DENISE JONES
Title or Position: OWNER/MGR
Credential:
Phone: 804-861-9165