Provider Demographics
NPI:1548512239
Name:WE CARE MEDICAL SUPPLY PLUS
Entity type:Organization
Organization Name:WE CARE MEDICAL SUPPLY PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TANESHA
Authorized Official - Middle Name:RACHELLE
Authorized Official - Last Name:BOLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-739-3126
Mailing Address - Street 1:13954 W. WADDELL RD
Mailing Address - Street 2:SUITE 103-191
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379
Mailing Address - Country:US
Mailing Address - Phone:888-739-3126
Mailing Address - Fax:928-239-8434
Practice Address - Street 1:17317 W. BANFF LANE
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388
Practice Address - Country:US
Practice Address - Phone:888-739-3126
Practice Address - Fax:928-239-8434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies