Provider Demographics
NPI:1316491087
Name:WECARE TLC - HARRISON
Entity type:Organization
Organization Name:WECARE TLC - HARRISON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:NATION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-941-0644
Mailing Address - Street 1:101 SUZIE LN
Mailing Address - Street 2:
Mailing Address - City:ATTICA
Mailing Address - State:IN
Mailing Address - Zip Code:47918-2009
Mailing Address - Country:US
Mailing Address - Phone:765-762-6789
Mailing Address - Fax:765-762-6766
Practice Address - Street 1:101 SUZIE LN
Practice Address - Street 2:
Practice Address - City:ATTICA
Practice Address - State:IN
Practice Address - Zip Code:47918-2009
Practice Address - Country:US
Practice Address - Phone:765-762-6789
Practice Address - Fax:765-762-6766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care