Provider Demographics
NPI:1811608193
Name:WILCOME HUMAN SERVICES, INC.
Entity type:Organization
Organization Name:WILCOME HUMAN SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/BOD
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-945-2663
Mailing Address - Street 1:335 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-9617
Mailing Address - Country:US
Mailing Address - Phone:844-945-2663
Mailing Address - Fax:
Practice Address - Street 1:8707 HARFORD RD STE B
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-4661
Practice Address - Country:US
Practice Address - Phone:844-945-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness