Provider Demographics
NPI:1265655609
Name:WOUNDCARE THERAPY SYSTEMS, LLC
Entity Type:Organization
Organization Name:WOUNDCARE THERAPY SYSTEMS, LLC
Other - Org Name:PROCARE THERAPY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-322-5055
Mailing Address - Street 1:3036 E LANARK ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-5918
Mailing Address - Country:US
Mailing Address - Phone:208-322-5055
Mailing Address - Fax:208-322-8033
Practice Address - Street 1:3036 E LANARK ST
Practice Address - Street 2:UNIT B
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-5918
Practice Address - Country:US
Practice Address - Phone:208-322-5055
Practice Address - Fax:208-322-8033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies