MEDICARE: WE RECKOGNIZE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1083464101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE RECKOGNIZE LLC

Provider Business Mailing Address
First Line	:	5916 29TH PL N
Second Line	:
City	:	CRYSTAL
State	:	MN
Zip	:	55422-2501
Country	:	US
Telephone Number	:	612-850-7581
Fax Number	:

Provider Business Practice Location Address
First Line	:	5916 29TH PL N
Second Line	:
City	:	CRYSTAL
State	:	MN
Zip	:	55422-2501
Country	:	US
Telephone Number	:	612-850-7581
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED AGENT
Name	:	LIZ ADAMS
Credential	:
Telephone Number	:	612-850-7581

Provider Enumeration Date	:	03/22/2024
Last Update Date	:	03/22/2024

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Directions to “WE RECKOGNIZE LLC ” Practice Location

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