Provider Demographics
NPI:1568644896
Name:WECARE NURSING RESOURCES, LLC
Entity Type:Organization
Organization Name:WECARE NURSING RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:LUMAQUIN
Authorized Official - Last Name:LACAYANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-627-5973
Mailing Address - Street 1:5980 TRAVO WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-3081
Mailing Address - Country:US
Mailing Address - Phone:916-627-5973
Mailing Address - Fax:
Practice Address - Street 1:5980 TRAVO WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757-3081
Practice Address - Country:US
Practice Address - Phone:916-627-5973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0900005989251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health