Provider Demographics
NPI:1033672142
Name:WECARE TLC- PIONEER HWY 80
Entity Type:Organization
Organization Name:WECARE TLC- PIONEER HWY 80
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-312-6333
Mailing Address - Street 1:999 DOUGLAS AVE STE 1119
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2062
Mailing Address - Country:US
Mailing Address - Phone:800-941-0644
Mailing Address - Fax:
Practice Address - Street 1:4815 E HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-4475
Practice Address - Country:US
Practice Address - Phone:432-571-2680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty