Provider Demographics
NPI:1275587834
Name:WES CORPORATION, INC.
Entity Type:Organization
Organization Name:WES CORPORATION, INC.
Other - Org Name:OMNIPRESENT ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-326-5042
Mailing Address - Street 1:696 DAVIS ST
Mailing Address - Street 2:P.O. BOX 1064
Mailing Address - City:LAMAR
Mailing Address - State:SC
Mailing Address - Zip Code:29069-9132
Mailing Address - Country:US
Mailing Address - Phone:843-326-5042
Mailing Address - Fax:843-326-5641
Practice Address - Street 1:696 DAVIS ST
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:SC
Practice Address - Zip Code:29069-9132
Practice Address - Country:US
Practice Address - Phone:843-326-5042
Practice Address - Fax:843-326-5641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCADC-256261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0755Medicaid