Provider Demographics
NPI:1225694953
Name:GOOD CARE REHAB& WELLNESS INC
Entity Type:Organization
Organization Name:GOOD CARE REHAB& WELLNESS INC
Other - Org Name:GOOD CARE REHAB& WELLNESS INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SIMONETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-716-0219
Mailing Address - Street 1:885 N POWERS DR STE B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-6842
Mailing Address - Country:US
Mailing Address - Phone:407-668-4847
Mailing Address - Fax:407-668-4953
Practice Address - Street 1:885 N POWERS DR STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-6842
Practice Address - Country:US
Practice Address - Phone:407-668-4847
Practice Address - Fax:407-668-4953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-17
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty