Provider Demographics
NPI:1457972606
Name:POWERARM ADULT CARE
Entity Type:Organization
Organization Name:POWERARM ADULT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DONKOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-586-3052
Mailing Address - Street 1:176 WHITEHEAD AVE
Mailing Address - Street 2:167 WHITEHEAD AVE
Mailing Address - City:SOUTH RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08882
Mailing Address - Country:US
Mailing Address - Phone:732-586-3052
Mailing Address - Fax:732-698-7634
Practice Address - Street 1:12 SNOWHILL STREET
Practice Address - Street 2:
Practice Address - City:SPOTSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08884
Practice Address - Country:US
Practice Address - Phone:732-586-3052
Practice Address - Fax:732-698-7634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services