Provider Demographics
NPI:1467091744
Name:WE SUPPORT SENIORS, L.L.C.
Entity Type:Organization
Organization Name:WE SUPPORT SENIORS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:J
Authorized Official - Last Name:KOPYC
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:215-776-7207
Mailing Address - Street 1:56 MENTELLE PARK
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1512
Mailing Address - Country:US
Mailing Address - Phone:215-776-7207
Mailing Address - Fax:
Practice Address - Street 1:56 MENTELLE PARK
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1512
Practice Address - Country:US
Practice Address - Phone:215-776-7207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYKY3134OtherSOCIAL WORK