Provider Demographics
NPI:1134267131
Name:WECARE SERVICES, LLC
Entity type:Organization
Organization Name:WECARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:E
Authorized Official - Last Name:GUYTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:662-869-5442
Mailing Address - Street 1:259 MOBILE ST
Mailing Address - Street 2:
Mailing Address - City:SALTILLO
Mailing Address - State:MS
Mailing Address - Zip Code:38866-8704
Mailing Address - Country:US
Mailing Address - Phone:662-869-5442
Mailing Address - Fax:
Practice Address - Street 1:259 MOBILE ST
Practice Address - Street 2:
Practice Address - City:SALTILLO
Practice Address - State:MS
Practice Address - Zip Code:38866-8704
Practice Address - Country:US
Practice Address - Phone:662-869-5442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07884528Medicaid
MS04484231Medicaid