MEDICARE: WE CARE HOME HEALTH AGENCY OF MONROE INC

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	311Z00000X	Custodial Care Facility	HC3370	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174682678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE CARE HOME HEALTH AGENCY OF MONROE INC

Provider Business Mailing Address
First Line	:	2006 WALKUP AVE STE C
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28110-3750
Country	:	US
Telephone Number	:	704-282-9346
Fax Number	:	704-282-9356

Provider Business Practice Location Address
First Line	:	2006 WALKUP AVE STE C
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28110-3750
Country	:	US
Telephone Number	:	704-282-9346
Fax Number	:	704-282-9356

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. KATHEY CHYREL GLENN
Credential	:
Telephone Number	:	704-491-6558

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	08/01/2008

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