Provider Demographics
NPI:1578643391
Name:WEDCO EMPLOYMENT CENTER, INC.
Entity type:Organization
Organization Name:WEDCO EMPLOYMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:SALMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-274-2605
Mailing Address - Street 1:5055 E BROADWAY BLVD
Mailing Address - Street 2:SUITE C-214
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3640
Mailing Address - Country:US
Mailing Address - Phone:520-584-8648
Mailing Address - Fax:520-745-0345
Practice Address - Street 1:5055 E BROADWAY BLVD
Practice Address - Street 2:SUITE C-214
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3640
Practice Address - Country:US
Practice Address - Phone:520-584-8648
Practice Address - Fax:520-745-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCSA06ADHS0107251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZA3OtherCOMMUNITY SERVICE AGENCY