Provider Demographics
NPI:1790297109
Name:WE CARE
Entity Type:Organization
Organization Name:WE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRISCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-728-2348
Mailing Address - Street 1:292 GUILFORD ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-2243
Mailing Address - Country:US
Mailing Address - Phone:434-728-2348
Mailing Address - Fax:
Practice Address - Street 1:292 GUILFORD ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-2243
Practice Address - Country:US
Practice Address - Phone:434-728-2348
Practice Address - Fax:434-835-4623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty