Provider Demographics
NPI:1497218077
Name:WECARE TLC- FRONTPATH
Entity Type:Organization
Organization Name:WECARE TLC- FRONTPATH
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:407-562-1212
Mailing Address - Street 1:120 INTERNATIONAL PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5049
Mailing Address - Country:US
Mailing Address - Phone:407-562-1212
Mailing Address - Fax:
Practice Address - Street 1:1090 W SOUTH BOUNDARY ST STE 200
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5278
Practice Address - Country:US
Practice Address - Phone:567-331-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty