Healthcare Provider Details

I. General information

NPI: 1326901513
Provider Name (Legal Business Name): WELLACCESS CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 N 21ST ST APT 36
EAST ORANGE NJ
07017-4825
US

IV. Provider business mailing address

6 N 21ST ST APT 36
EAST ORANGE NJ
07017-4825
US

V. Phone/Fax

Practice location:
  • Phone: 973-417-0443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name: PEACE ANYANWU
Title or Position: CO OWNER
Credential:
Phone: 973-417-0443