Revolutionary Rehab Wellness Corp

LBN: Revolutionary Rehab Wellness Corp
Revolutionary Rehab Wellness Corp is an health care organization with primary practice located at 138 Park Ave , East Rutherford NJ 07073-1855. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Revolutionary Rehab Wellness Corp can be contacted via phone (201) 438-4400, or through Mercado, Daniel via phone (201) 438-4400.

Contact Information

Primary practice address
138 Park Ave East Rutherford NJ 07073-1855
Phone: (201) 438-4400
Fax: (201) 203-1748
Website:
Map and Directions
Authorized official contact:
Name: Mercado, Daniel Physical Therapist (PT)
Phone: (201) 438-4400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 40QA00805300 New Jersey

Profile Details

NPI number 1659785061
LBN Legal business name Revolutionary Rehab Wellness Corp
DBA Doing business as
Authorized official Mercado, Daniel Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2014
Last updated Jun 12th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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