Provider Demographics
NPI:1568691335
Name:WENRIC, INC
Entity Type:Organization
Organization Name:WENRIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-426-7581
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:TN
Mailing Address - Zip Code:38455-0027
Mailing Address - Country:US
Mailing Address - Phone:256-426-7581
Mailing Address - Fax:
Practice Address - Street 1:8299 ELKTON PIKE
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:TN
Practice Address - Zip Code:38449
Practice Address - Country:US
Practice Address - Phone:256-426-7581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN105402324332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies