Provider Demographics
NPI: | 1699180786 |
---|---|
Name: | CAREWELL THERAPY PLUS |
Entity type: | Organization |
Organization Name: | CAREWELL THERAPY PLUS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR/OWNER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | RONALD |
Authorized Official - Middle Name: | F |
Authorized Official - Last Name: | MORGANELLI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 339-788-9635 |
Mailing Address - Street 1: | 141 LONGWATER DR |
Mailing Address - Street 2: | SUITE 104 |
Mailing Address - City: | NORWELL |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 02061-1632 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 339-788-9635 |
Mailing Address - Fax: | 339-788-9534 |
Practice Address - Street 1: | 141 LONGWATER DR |
Practice Address - Street 2: | SUITE 104 |
Practice Address - City: | NORWELL |
Practice Address - State: | MA |
Practice Address - Zip Code: | 02061-1632 |
Practice Address - Country: | US |
Practice Address - Phone: | 339-788-9635 |
Practice Address - Fax: | 339-788-9534 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | CAREWELL HEALTH GROUP, LLC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2014-06-26 |
Last Update Date: | 2015-02-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home |