Provider Demographics
NPI:1730638529
Name:WILL CARE HEALTH SYSTEMS LLC
Entity Type:Organization
Organization Name:WILL CARE HEALTH SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LAKISHA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:MCNEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-658-4911
Mailing Address - Street 1:1503 DENIM DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ERWIN
Mailing Address - State:NC
Mailing Address - Zip Code:28339
Mailing Address - Country:US
Mailing Address - Phone:910-658-4911
Mailing Address - Fax:
Practice Address - Street 1:1503 DENIM DR
Practice Address - Street 2:SUITE 101
Practice Address - City:ERWIN
Practice Address - State:NC
Practice Address - Zip Code:28339-3017
Practice Address - Country:US
Practice Address - Phone:910-658-4911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care