# WELLCARE RESIDENCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932590700
- **Authorized official:** CHANTAL VIEUX-LOUIS (CEO)
- **Authorized official phone:** (609) 864-4795

## Contact information

- **Practice address:** 9 NORTHAMPTON DR, WILLINGBORO, NJ 08046-1324
- **Practice address phone:** (609) 864-4795
- **Practice address fax:** (609) 261-1794
- **Mailing address:** 9 NORTHAMPTON DR, WILLINGBORO, NJ 08046-1324
- **Mailing address fax:** (609) 261-1794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2015
- **Last updated:** 02/13/2015