MEDICARE: WCE, 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1952455727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WCE, LLC

Provider Business Mailing Address
First Line	:	2424 E 8 MILE RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48234-1010
Country	:	US
Telephone Number	:	313-366-5100
Fax Number	:	313-366-5104

Provider Business Practice Location Address
First Line	:	18756 MIDDLEBELT RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-3528
Country	:	US
Telephone Number	:	248-476-5350
Fax Number	:	248-476-5355

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROBERT EVANGELISTA
Credential	:
Telephone Number	:	313-366-5100

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/03/2013

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