| NPI | 1649869678 |
|---|---|
| Other Name | WELLCARE |
| Entity Type | Organization |
| Authorized Contact | JACOB CORNELIUS PARKER Customer Support 601-268-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 163WP0000X Registered Nurse Pain Management |
| 291U00000X Clinical Medical Laboratory | |
| 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2022-03-17 |