Provider Demographics
NPI:1457422750
Name:WE CARE RESIDENTIAL CARE
Entity Type:Organization
Organization Name:WE CARE RESIDENTIAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYNE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:HANNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-924-4446
Mailing Address - Street 1:1258 SARA DR
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-2445
Mailing Address - Country:US
Mailing Address - Phone:559-924-4446
Mailing Address - Fax:559-924-7824
Practice Address - Street 1:1258 SARA DR
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-2445
Practice Address - Country:US
Practice Address - Phone:559-924-4446
Practice Address - Fax:559-924-7824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120000635313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility