Provider Demographics
NPI:1639780653
Name:WICFOL HUMAN SERVICES CORPORATION
Entity Type:Organization
Organization Name:WICFOL HUMAN SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EDMUND
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:508-685-6449
Mailing Address - Street 1:1785 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-3525
Mailing Address - Country:US
Mailing Address - Phone:508-685-6449
Mailing Address - Fax:508-807-5126
Practice Address - Street 1:1785 SOUTH ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-3525
Practice Address - Country:US
Practice Address - Phone:508-685-6449
Practice Address - Fax:508-807-5126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1639780653OtherHOME HEALTH