| We Care Wellness Center, Llc | |
|
827 W Prairie Ave Hayden ID 83835-8459 | |
| (208) 967-5608 | |
| Not Available |
| Full Name | We Care Wellness Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 827 W Prairie Ave, Hayden, Idaho |
| Authorized Official Name and Position | Eric J Backman (CEO) |
| Authorized Official Contact | 2086609378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| We Care Wellness Center, Llc 827 W Prairie Ave Hayden ID 83835-8459 Ph: (208) 967-5608 | We Care Wellness Center, Llc 827 W Prairie Ave Hayden ID 83835-8459 Ph: (208) 967-5608 |
| NPI Number | 1184262487 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 1951736040 |
|---|---|
| Medicare Enrollment ID | O20200117002073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184262487 | NPI | - | NPPES |
| Provider Name | Jerald R Olsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215369764 PECOS PAC ID: 2365678430 Enrollment ID: I20131119001343 |
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