Provider Demographics
NPI:1255927661
Name:WECARE FOR ABETTERU MEDICAL SUPPLY
Entity type:Organization
Organization Name:WECARE FOR ABETTERU MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OKSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESAULTSEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-462-5600
Mailing Address - Street 1:1190 BURNETT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5612
Mailing Address - Country:US
Mailing Address - Phone:415-656-6814
Mailing Address - Fax:925-307-5395
Practice Address - Street 1:1190 BURNETT AVE STE A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5612
Practice Address - Country:US
Practice Address - Phone:925-462-5600
Practice Address - Fax:925-307-5395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-19
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies