Healthcare Provider Details

I. General information

NPI: 1760047427
Provider Name (Legal Business Name): WES & CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 05/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5524 MULBERRY DR
NORTH PRINCE GEORGE VA
23860-7327
US

IV. Provider business mailing address

PO BOX 863
PRINCE GEORGE VA
23875-0841
US

V. Phone/Fax

Practice location:
  • Phone: 804-452-7686
  • Fax:
Mailing address:
  • Phone: 804-452-7686
  • Fax: 804-452-7686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TAMALA WESCOTT
Title or Position: CEO
Credential: MSM
Phone: 804-452-7686