Provider Demographics
NPI:1063988525
Name:WE CARE FIRST OF PHILADELPHIA LLC
Entity type:Organization
Organization Name:WE CARE FIRST OF PHILADELPHIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LEETONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:267-596-8805
Mailing Address - Street 1:4638 GREENE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-6066
Mailing Address - Country:US
Mailing Address - Phone:267-596-8805
Mailing Address - Fax:
Practice Address - Street 1:4638 GREENE ST APT 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-6066
Practice Address - Country:US
Practice Address - Phone:267-596-8805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7313OtherWE CARE FIRST OF PHILADELPHIA LLC
PA7313Medicaid
PA7313OtherNON MEDICAL HOMECARE