Organization Name: | ADVANCED COMMUNITY REHABILITATION |
NPI Number: | 1316230279 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY IZUNDU OKEKE (OWNER/DIRECTOR) |
Mailing Address: | 40 Union Ave Ste 304 Irvington |
State: | NJ US |
Postal Code: | 071113290 |
Phone Number: | 9734164800 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2011 |
NPI Last Update Date: | 05/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 40QA00590500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |