Provider Demographics
NPI:1649659244
Name:I-KARE HEALTH AND WELLNESS
Entity type:Organization
Organization Name:I-KARE HEALTH AND WELLNESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-331-8453
Mailing Address - Street 1:2200 N FLORIDA MANGO RD STE 301E
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6449
Mailing Address - Country:US
Mailing Address - Phone:561-331-8453
Mailing Address - Fax:954-208-0462
Practice Address - Street 1:2200 N FLORIDA MANGO RD STE 301E
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6449
Practice Address - Country:US
Practice Address - Phone:561-331-8453
Practice Address - Fax:954-208-0462
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:I-KARE TREATMENT CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service