Provider Demographics
NPI:1508489600
Name:WE CARE WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:WE CARE WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-292-7510
Mailing Address - Street 1:1484 E BOBWHITE LN
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-4949
Mailing Address - Country:US
Mailing Address - Phone:949-292-7510
Mailing Address - Fax:208-946-4172
Practice Address - Street 1:1484 E BOBWHITE LN
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-4949
Practice Address - Country:US
Practice Address - Phone:949-292-7510
Practice Address - Fax:208-946-4172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service