Provider Demographics
NPI:1316092265
Name:WE CARE DENTAL & HEALTH SERVICES
Entity type:Organization
Organization Name:WE CARE DENTAL & HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXEC.DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:BSNR,N
Authorized Official - Phone:219-531-6799
Mailing Address - Street 1:804 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-5809
Mailing Address - Country:US
Mailing Address - Phone:219-531-6799
Mailing Address - Fax:219-476-4253
Practice Address - Street 1:2405 PRIMROSE DR # 07
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-5962
Practice Address - Country:US
Practice Address - Phone:219-476-4253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home