Provider Demographics
NPI:1073979258
Name:WEALCAN HUMAN SERVICES
Entity Type:Organization
Organization Name:WEALCAN HUMAN SERVICES
Other - Org Name:WEALCAN UNLIMITED LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SERVICE FACILITATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:CHERYL
Authorized Official - Last Name:DANDRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-363-6823
Mailing Address - Street 1:3106 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2015
Mailing Address - Country:US
Mailing Address - Phone:804-363-6823
Mailing Address - Fax:804-562-4411
Practice Address - Street 1:3106 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-2015
Practice Address - Country:US
Practice Address - Phone:804-363-6823
Practice Address - Fax:804-562-4411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty