Provider Demographics
NPI:1306379235
Name:WE CARE HOMECARE AGENCY , LLC
Entity Type:Organization
Organization Name:WE CARE HOMECARE AGENCY , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH AID
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GBOSSOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-617-5752
Mailing Address - Street 1:313 W LIBERTY ST
Mailing Address - Street 2:203
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2798
Mailing Address - Country:US
Mailing Address - Phone:717-617-5752
Mailing Address - Fax:
Practice Address - Street 1:313 W LIBERTY ST
Practice Address - Street 2:203
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2798
Practice Address - Country:US
Practice Address - Phone:717-617-5752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health