Provider Demographics
NPI:1639530611
Name:WE CAN TOO LLC
Entity Type:Organization
Organization Name:WE CAN TOO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BLUMHORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-300-0222
Mailing Address - Street 1:311 S PARK DR
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:OH
Mailing Address - Zip Code:45885-9689
Mailing Address - Country:US
Mailing Address - Phone:419-300-0222
Mailing Address - Fax:419-394-2853
Practice Address - Street 1:311 S PARK DR
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-9689
Practice Address - Country:US
Practice Address - Phone:419-300-0222
Practice Address - Fax:419-394-2853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3100281OtherODJFS MEDICAID PROVIDER NUMBER
OH0600522OtherDODD CONTRACT NUMBER