Provider Demographics
NPI:1346004983
Name:WE CARE AT M&C ROOM&BOARD LLC
Entity Type:Organization
Organization Name:WE CARE AT M&C ROOM&BOARD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RYNICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-974-4917
Mailing Address - Street 1:28332 CARLYSLE
Mailing Address - Street 2:
Mailing Address - City:INKSTER, MI 48141
Mailing Address - State:MI
Mailing Address - Zip Code:48141
Mailing Address - Country:US
Mailing Address - Phone:313-974-4917
Mailing Address - Fax:
Practice Address - Street 1:28332 CARLYSLE
Practice Address - Street 2:
Practice Address - City:INKSTER, MI 48141
Practice Address - State:MI
Practice Address - Zip Code:48141
Practice Address - Country:US
Practice Address - Phone:313-974-4917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health