Provider Demographics
NPI:1316479561
Name:BEST CARE WELLNESS CENTER, LLC
Entity type:Organization
Organization Name:BEST CARE WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VALLONE
Authorized Official - Suffix:
Authorized Official - Credentials:APN-C
Authorized Official - Phone:201-575-2224
Mailing Address - Street 1:617 E PALISADE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-1831
Mailing Address - Country:US
Mailing Address - Phone:201-575-2224
Mailing Address - Fax:
Practice Address - Street 1:617 E PALISADE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632
Practice Address - Country:US
Practice Address - Phone:201-575-2224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center