MEDICARE: WELL BEING CARE SERVICES

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	253Z00000X	In Home Supportive Care Agency	CNA014053	NV

General Provider Information

NPI Number	:	1760891774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL BEING CARE SERVICES

Provider Business Mailing Address
First Line	:	3753 HOLLYCROFT DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-6634
Country	:	US
Telephone Number	:	705-904-3185
Fax Number	:

Provider Business Practice Location Address
First Line	:	3753 HOLLYCROFT DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-6634
Country	:	US
Telephone Number	:	705-904-3185
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JOY JOSIAH-CHARLES
Credential	:
Telephone Number	:	702-904-3185

Provider Enumeration Date	:	08/05/2014
Last Update Date	:	08/05/2014

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Directions to “WELL BEING CARE SERVICES ” Practice Location

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