Provider Demographics
NPI:1417534017
Name:WLC HOME HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:WLC HOME HEALTH CARE SERVICES LLC
Other - Org Name:WLC HOME HEALTH CARE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAGNER
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUIS-CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-503-7777
Mailing Address - Street 1:6555 BUSCH BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1739
Mailing Address - Country:US
Mailing Address - Phone:614-503-7777
Mailing Address - Fax:877-859-6863
Practice Address - Street 1:6555 BUSCH BLVD STE 260
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1739
Practice Address - Country:US
Practice Address - Phone:614-503-7777
Practice Address - Fax:877-859-6863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-28
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health