GROUND LUMINOSITY EASTERN WELLNESS CENTER NPI 1063956183

NPI Information

  • NPI: 1063956183
  • Provider Name: GROUND LUMINOSITY EASTERN WELLNESS CENTER
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1501 LOWER STATE RD
    BLDG D SUITE 306
    NORTH WALES, PA
    ZIP 19454
  • Phone: (215) 301-3607

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NPI Details

GROUND LUMINOSITY EASTERN WELLNESS CENTER is a specialist in North Wales, PA. The provider is 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. GROUND LUMINOSITY EASTERN WELLNESS CENTER NPI is 1063956183. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1501 LOWER STATE RD
BLDG D SUITE 306
NORTH WALES, PA
ZIP 19454-216
Phone: (215) 301-3607

The provider's authorized official is Curran Latchford .
The authorized official title is Owner and has the following contact phone number (215) 301-3607.

The enumeration date for this NPI number is 12/8/2016 and was last updated on 12/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMSG006874PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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