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General NPI Number Information
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NPI Number | 1669975132
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Entity Type | Organization
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Legal Business Name | WE CARE SUPPORTIVE SERVICES, INC
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 03/01/2019
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Provider Practice Location Address
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Address Line | 1108 GRECADE STREET SUITE 101
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City | GREENSBORO
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State | NC
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Zip | 27408-8729
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Country | US
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Telephone | 414-704-9031
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Fax |
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Provider Business Mailing Address
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Address Line | 5699 N CENTERPARK WAY APT 551
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City | GLENDALE
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State | WI
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Zip | 53217-4576
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Country | US
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Telephone | 414-704-9031
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. TUNISHA R WEBER
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Credential |
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Telephone | 336-840-7875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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