Provider Demographics
NPI:1194985051
Name:WE CARE RESIDENTIAL SERVICE
Entity type:Organization
Organization Name:WE CARE RESIDENTIAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMELITA
Authorized Official - Middle Name:NAKEYA
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-781-3215
Mailing Address - Street 1:259 CHARCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78220-1637
Mailing Address - Country:US
Mailing Address - Phone:210-781-3215
Mailing Address - Fax:210-281-5791
Practice Address - Street 1:259 CHARCLIFF DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78220-1637
Practice Address - Country:US
Practice Address - Phone:210-781-3215
Practice Address - Fax:210-281-5791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities