Provider Demographics
NPI:1689721755
Name:W.E. FAMILY HOME CARE II INC
Entity Type:Organization
Organization Name:W.E. FAMILY HOME CARE II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:L
Authorized Official - Last Name:EASON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:252-396-8484
Mailing Address - Street 1:PO BOX 358
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27855-0358
Mailing Address - Country:US
Mailing Address - Phone:258-396-8484
Mailing Address - Fax:252-396-8464
Practice Address - Street 1:120 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:NC
Practice Address - Zip Code:27855-1409
Practice Address - Country:US
Practice Address - Phone:252-396-8484
Practice Address - Fax:252-396-8464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2444251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management