| NPI | 1427039379 |
|---|---|
| Doing Business As | WELLCARE HOME MOBILITY |
| Entity Type | Organization |
| Authorized Contact | DANIEL JACKSON President 973-777-3196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 3000007639) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2022-07-21 |