Provider Demographics
NPI:1639468424
Name:WE SPEAK FOR OURSELVES, LLC
Entity Type:Organization
Organization Name:WE SPEAK FOR OURSELVES, LLC
Other - Org Name:WE SPEAK FOR OURSELVES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-438-8310
Mailing Address - Street 1:2020 OAKCREEK DR
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-2779
Mailing Address - Country:US
Mailing Address - Phone:770-905-7928
Mailing Address - Fax:678-233-0365
Practice Address - Street 1:2020 OAKCREEK DR
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-2779
Practice Address - Country:US
Practice Address - Phone:770-905-7928
Practice Address - Fax:678-233-0365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251T00000X251T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA958194354AMedicaid
GA958194354BMedicaid