Provider Demographics
NPI:1023228335
Name:WECARE 2 PCH INCORPORATED
Entity type:Organization
Organization Name:WECARE 2 PCH INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMINISTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-982-0996
Mailing Address - Street 1:1483 VIRGIL POND LN
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-5168
Mailing Address - Country:US
Mailing Address - Phone:770-972-7662
Mailing Address - Fax:770-982-0854
Practice Address - Street 1:2470 NORTHBROOK RD
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-4215
Practice Address - Country:US
Practice Address - Phone:770-972-7662
Practice Address - Fax:770-982-0854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies