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NPI Code Detail

MEDICARE: WECARE HEALTH CLINIC GROUP, LLC

MEDICARE: WECARE HEALTH CLINIC GROUP, 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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1255045415
Entity Type Code : Organization
Provider Name (Legal Business Name) : WECARE HEALTH CLINIC GROUP, LLC
Provider Business Mailing Address
First Line : 7058 CORPORATE WAY STE 3
Second Line :
City : DAYTON
State : OH
Zip : 45459-4243
Country : US
Telephone Number : 937-991-0080
Fax Number :
Provider Business Practice Location Address
First Line : 7058 CORPORATE WAY STE 3
Second Line :
City : DAYTON
State : OH
Zip : 45459-4243
Country : US
Telephone Number : 937-991-0080
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : RACHELE SMIH
Credential :
Telephone Number : 513-377-9374
Provider Enumeration Date : 01/11/2023
Last Update Date : 01/11/2023

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Directions to “WECARE HEALTH CLINIC GROUP, LLC ” Practice Location

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