Provider Demographics
NPI:1376006395
Name:WECARE TLC- KENNETH COPELAND MINISTRIES
Entity Type:Organization
Organization Name:WECARE TLC- KENNETH COPELAND MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-312-6333
Mailing Address - Street 1:999 DOUGLAS AVE STE 1119
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-2062
Mailing Address - Country:US
Mailing Address - Phone:407-562-1212
Mailing Address - Fax:
Practice Address - Street 1:14355 MORRIS DIDO RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:TX
Practice Address - Zip Code:76071-9501
Practice Address - Country:US
Practice Address - Phone:817-252-3680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty