Organization Name:  WESSCARE, LLC


Practice Location:
7679 HIGHWAY 51 NORTH  HALLS, TN 38040 US
Tel: 731-836-1111  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	332BD1200X	Suppliers Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies	TN	0000002019
N	332BX2000X	Suppliers Durable Medical Equipment & Medical Supplies	TN	0000002019
N	332BP3500X	Suppliers Durable Medical Equipment & Medical Supplies	TN	0000002019
N	332BC3200X	Suppliers Durable Medical Equipment & Medical Supplies	TN	0000002019
N	332BN1400X	Suppliers Durable Medical Equipment & Medical Supplies	TN	0000002019
Y	332B00000X	Suppliers Durable Medical Equipment & Medical Supplies	TN	0000002019

Other Provider Identifiers:

Issuer	Number	State	Type
	1454940	TN	05
	150445	TN	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin