Provider Demographics
NPI:1700211919
Name:AMERICARE WELLNESS
Entity Type:Organization
Organization Name:AMERICARE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RELE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-389-9100
Mailing Address - Street 1:1631 LARKSPUR DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-1346
Mailing Address - Country:US
Mailing Address - Phone:908-389-9100
Mailing Address - Fax:908-389-9101
Practice Address - Street 1:1111 US HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2808
Practice Address - Country:US
Practice Address - Phone:908-389-9100
Practice Address - Fax:908-389-9101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty