- Enrollment id
- O20231107002207
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1417617663
- Multiple npi flag
- N
- Ccn
- 757775
- Associate id
- 5496102824
- Organization name
- WECARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 121 W LEXINGTON DR
- Address line 2
- STE 412B
- City
- GLENDALE
- State
- CA
- Zip code
- 912032230