Provider Demographics
NPI:1235880063
Name:WE'RE NO DIFFERENT, LLC
Entity Type:Organization
Organization Name:WE'RE NO DIFFERENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NIESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MS CAP CBHCMS
Authorized Official - Phone:561-352-3431
Mailing Address - Street 1:560 VILLAGE BLVD
Mailing Address - Street 2:STE 120 #43
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409
Mailing Address - Country:US
Mailing Address - Phone:561-352-3431
Mailing Address - Fax:
Practice Address - Street 1:560 VILLAGE BLVD SUITE 120 #43
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409
Practice Address - Country:US
Practice Address - Phone:561-352-3431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health