Provider Demographics
NPI:1598052839
Name:MEDCARE WRAPPS, LLC
Entity Type:Organization
Organization Name:MEDCARE WRAPPS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-772-1805
Mailing Address - Street 1:744 BROAD ST
Mailing Address - Street 2:SUITE 1005
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-3802
Mailing Address - Country:US
Mailing Address - Phone:862-772-1805
Mailing Address - Fax:862-772-1820
Practice Address - Street 1:744 BROAD ST
Practice Address - Street 2:SUITE 1005
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3802
Practice Address - Country:US
Practice Address - Phone:862-772-1805
Practice Address - Fax:862-772-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies