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ULTIMATE HEALING WELLNESS CENTER LLC NPI 1497250609


NPI Information

NPI: 1497250609
Provider Name: ULTIMATE HEALING WELLNESS CENTER, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2856 GLENBROOK DR
GRETNA, LA
ZIP 70056
Phone: (504) 442-6943
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ULTIMATE HEALING WELLNESS CENTER, LLC is a clinic center in Gretna, LA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ULTIMATE HEALING WELLNESS CENTER, LLC NPI is 1497250609. The provider is registered as an organization entity type.

The provider's business location address is:

2856 GLENBROOK DR
GRETNA, LA
ZIP 70056-910
Phone: (504) 442-6943

The provider's authorized official is Genene Mcdonald Coleman .
The authorized official title is Owner and has the following contact phone number (504) 442-6943.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 3/28/2018.


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
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1132708MEDICAIDLOUISIANA

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: 5/5/2024

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