Provider Demographics
NPI:1538462056
Name:WOUND CARE ASSOCIATES INC
Entity Type:Organization
Organization Name:WOUND CARE ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HONEA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:970-290-2072
Mailing Address - Street 1:945 LOGAN CT
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-3100
Mailing Address - Country:US
Mailing Address - Phone:970-290-2072
Mailing Address - Fax:970-669-2260
Practice Address - Street 1:945 LOGAN CT
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3100
Practice Address - Country:US
Practice Address - Phone:970-290-2072
Practice Address - Fax:970-669-2260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO58113163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1538462056OtherWOUND CARE ASSOCIATES
CO1538462056OtherWOUND CARE ASSOCIATES