Provider Demographics
NPI:1962961599
Name:WECARE LLC
Entity type:Organization
Organization Name:WECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TUBTSHWM
Authorized Official - Middle Name:WASHINGTON
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-511-6623
Mailing Address - Street 1:2241 ROOSEVELT RD STE 14
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-4536
Mailing Address - Country:US
Mailing Address - Phone:866-511-6623
Mailing Address - Fax:
Practice Address - Street 1:2241 ROOSEVELT RD STE 14
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4536
Practice Address - Country:US
Practice Address - Phone:866-511-6623
Practice Address - Fax:800-532-1684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit