Organization
WELLCARE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURNENDU RAVAL PHARM D. (PRESIDENT)
(917) 751-9310
Entity
Organization
Contact information
Practice address
1281 VALLEY RD # B, WAYNE, NJ 07470-7980
(862) 233-8488
Mailing address
1281 VALLEY RD # B, WAYNE, NJ 07470-7980
(862) 233-8488
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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