Whalio Doctors

NPI 1790166171

Universal Rehabilitation & Fitness INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility West Orange, NJ

Practice location

Address
8 Ellison Ave, West Orange, NJ 07052-1706
Phone
(973) 699-9941
Mailing address
15 Microlab Rd Suite 101, Livingston, NJ 07039-1623

Authorised official

Name
Michael Scudillo
Title
Chief Compliance Officer
Phone
(973) 992-8181

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1790166171
Entity type
Organization
NPI issued
11 Jun 2015
Record last updated
11 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.