Provider Demographics
NPI:1083358568
Name:WELL SENIOR CARE LLC
Entity Type:Organization
Organization Name:WELL SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NGUYET
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-279-2017
Mailing Address - Street 1:1 TARA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-2809
Mailing Address - Country:US
Mailing Address - Phone:888-279-2017
Mailing Address - Fax:888-276-6217
Practice Address - Street 1:1 TARA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-2809
Practice Address - Country:US
Practice Address - Phone:888-279-2017
Practice Address - Fax:888-276-6217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care