Provider Demographics
NPI:1881065969
Name:WECARE MEDICAL, LLC
Entity type:Organization
Organization Name:WECARE MEDICAL, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:606-324-1007
Mailing Address - Street 1:PO BOX 554
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-0554
Mailing Address - Country:US
Mailing Address - Phone:606-324-1007
Mailing Address - Fax:
Practice Address - Street 1:1000 ASHLAND DR
Practice Address - Street 2:SUITE 101
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7084
Practice Address - Country:US
Practice Address - Phone:606-393-4620
Practice Address - Fax:855-553-5903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies