ELITE 360 HEALTH AND WELLNESS NPI 1376016410

NPI Information

NPI: 1376016410
Provider Name: ELITE 360 HEALTH AND WELLNESS
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
1409 S LAMAR
STE. 245
DALLAS, TX
ZIP 75215
Phone: (214) 587-8655
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ELITE 360 HEALTH AND WELLNESS is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Dallas, TX. ELITE 360 HEALTH AND WELLNESS NPI is 1376016410. The provider is registered as an organization entity type.

The provider's business location address is:

1409 S LAMAR
STE. 245
DALLAS, TX
ZIP 75215-818
Phone: (214) 587-8655
Fax: (214) 242-9696

The provider's authorized official is Daniell Nicole Lucas .
The authorized official title is Owner and has the following contact phone number (214) 587-8655.

The enumeration date for this NPI number is 1/10/2019 and was last updated on 1/10/2019.

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
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			Yes

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: 11/14/2023

NPI Synchronization or Removal

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