Provider Demographics
NPI:1144470436
Name:WELLNESS NURSING AND REHABILITATION INC.
Entity type:Organization
Organization Name:WELLNESS NURSING AND REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:MASILAMONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULIAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-931-7575
Mailing Address - Street 1:3537 SPENCERVILLE RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1500
Mailing Address - Country:US
Mailing Address - Phone:301-931-7575
Mailing Address - Fax:
Practice Address - Street 1:3537 SPENCERVILLE RD
Practice Address - Street 2:SUITE 9
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1500
Practice Address - Country:US
Practice Address - Phone:301-931-7575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization