Provider Demographics
NPI:1487108155
Name:WECARE TLC-CENTRAL NOBLE
Entity type:Organization
Organization Name:WECARE TLC-CENTRAL NOBLE
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 1:209 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:IN
Mailing Address - Zip Code:46701-1251
Mailing Address - Country:US
Mailing Address - Phone:260-636-7938
Mailing Address - Fax:260-636-1049
Practice Address - Street 1:209 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:IN
Practice Address - Zip Code:46701-1251
Practice Address - Country:US
Practice Address - Phone:260-636-7938
Practice Address - Fax:260-636-1049
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