Provider Demographics
NPI:1548314297
Name:MAINLAND WELLNESS AND REHABILITATION CENTER,LLC
Entity type:Organization
Organization Name:MAINLAND WELLNESS AND REHABILITATION CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-926-3777
Mailing Address - Street 1:2021 NEW RD
Mailing Address - Street 2:SUITE #17
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1045
Mailing Address - Country:US
Mailing Address - Phone:609-926-3777
Mailing Address - Fax:
Practice Address - Street 1:2021 NEW RD
Practice Address - Street 2:SUITE #17
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1045
Practice Address - Country:US
Practice Address - Phone:609-926-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03486111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty