Provider Demographics
NPI:1538460332
Name:WOUND CARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:WOUND CARE SOLUTIONS LLC
Other - Org Name:WCS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:T
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-441-1525
Mailing Address - Street 1:2378 ASHLEY PLACE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-8323
Mailing Address - Country:US
Mailing Address - Phone:636-441-1525
Mailing Address - Fax:636-441-1568
Practice Address - Street 1:2378 ASHLEY PLACE DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-8323
Practice Address - Country:US
Practice Address - Phone:636-441-1525
Practice Address - Fax:636-441-1568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies