Provider Demographics
NPI:1760162408
Name:WEDOCARE AGENCY LLC
Entity Type:Organization
Organization Name:WEDOCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-463-3978
Mailing Address - Street 1:11830 230TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-2210
Mailing Address - Country:US
Mailing Address - Phone:201-463-3978
Mailing Address - Fax:
Practice Address - Street 1:11830 230TH ST
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411-2210
Practice Address - Country:US
Practice Address - Phone:201-463-3978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care