Provider Demographics
NPI:1689115347
Name:WE CARE INDEPENDENCE LLC
Entity Type:Organization
Organization Name:WE CARE INDEPENDENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LAKIA
Authorized Official - Middle Name:SHANAE
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-252-2711
Mailing Address - Street 1:10111 W CAPITOL DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53222-1335
Mailing Address - Country:US
Mailing Address - Phone:414-252-2711
Mailing Address - Fax:
Practice Address - Street 1:10111 W CAPITOL DR
Practice Address - Street 2:SUITE 8
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53222-1335
Practice Address - Country:US
Practice Address - Phone:414-252-2711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health