Provider Demographics
NPI:1528302205
Name:WILLCARE INC.
Entity type:Organization
Organization Name:WILLCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR CORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULEE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:KLOPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-856-7500
Mailing Address - Street 1:346 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-1804
Mailing Address - Country:US
Mailing Address - Phone:716-856-7500
Mailing Address - Fax:716-856-7502
Practice Address - Street 1:346 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1804
Practice Address - Country:US
Practice Address - Phone:716-856-7500
Practice Address - Fax:716-856-7502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215430305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service