MEDICARE: WECARE MEDICAL, 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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1417321019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WECARE MEDICAL, LLC

Provider Business Mailing Address
First Line	:	220 W GERMANTOWN PIKE STE 250
Second Line	:
City	:	PLYMOUTH MEETING
State	:	PA
Zip	:	19462-1437
Country	:	US
Telephone Number	:	610-630-6357
Fax Number	:

Provider Business Practice Location Address
First Line	:	2551 REGENCY RD STE 103
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-2963
Country	:	US
Telephone Number	:	859-286-5594
Fax Number	:	859-559-0690

Authorized Official
Title or Position	:	CEO
Name	:	STEPHEN P GRIGGS
Credential	:
Telephone Number	:	407-206-0040

Provider Enumeration Date	:	11/19/2015
Last Update Date	:	08/23/2021

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