Provider Demographics
NPI:1518292135
Name:WE CARE AGENCY
Entity Type:Organization
Organization Name:WE CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-646-8804
Mailing Address - Street 1:P.O. BOX 129
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:MS
Mailing Address - Zip Code:39332
Mailing Address - Country:US
Mailing Address - Phone:601-646-8804
Mailing Address - Fax:601-646-8898
Practice Address - Street 1:196 JEFFERSON ST.
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:MS
Practice Address - Zip Code:39332
Practice Address - Country:US
Practice Address - Phone:601-646-8804
Practice Address - Fax:601-646-8898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376J00000X
MS376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04576830Medicaid
MS09305830Medicaid