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NPI Code Detail

MEDICARE: WEKARE HEALTH MANAGEMENT

MEDICARE: WEKARE HEALTH MANAGEMENT
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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1255105771
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEKARE HEALTH MANAGEMENT
Provider Business Mailing Address
First Line : 3215 W CHARLESTON BLVD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2182
Country : US
Telephone Number : 725-222-8636
Fax Number : 702-935-7624
Provider Business Practice Location Address
First Line : 3215 W CHARLESTON BLVD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2182
Country : US
Telephone Number : 725-222-8636
Fax Number : 702-935-7624
Authorized Official
Title or Position : CEO
Name : PHILLIP BLEDSOE
Credential :
Telephone Number : 725-222-8636
Provider Enumeration Date : 11/15/2023
Last Update Date : 11/15/2023

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Directions to “WEKARE HEALTH MANAGEMENT ” Practice Location

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