Provider Demographics
NPI:1568520351
Name:WARE SERVICES
Entity Type:Organization
Organization Name:WARE SERVICES
Other - Org Name:WARE HEALTH CARE SERVICES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:850-875-1808
Mailing Address - Street 1:PO BOX 341
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32353-0341
Mailing Address - Country:US
Mailing Address - Phone:850-875-1808
Mailing Address - Fax:850-875-1818
Practice Address - Street 1:1001 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-1303
Practice Address - Country:US
Practice Address - Phone:850-875-1808
Practice Address - Fax:850-875-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL229206251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health