Provider Demographics
NPI:1558661173
Name:W.E.S. HOME CARE
Entity Type:Organization
Organization Name:W.E.S. HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TANJARNEKA
Authorized Official - Middle Name:DOTRICE
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-995-2840
Mailing Address - Street 1:1288 CLOISTER DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-5608
Mailing Address - Country:US
Mailing Address - Phone:336-995-2840
Mailing Address - Fax:
Practice Address - Street 1:1288 CLOISTER DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127-5608
Practice Address - Country:US
Practice Address - Phone:336-995-2840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home