WHOLECARE WELLNESS LLC NPI 1629626445

NPI Information

NPI: 1629626445
Provider Name: WHOLECARE WELLNESS LLC

Doing Business As: WHOLECARE WELLNESS

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
5390 PEACHTREE INDUSTRIAL BLVD STE 130
NORCROSS, GA
ZIP 30071
Phone: (404) 797-1097
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WHOLECARE WELLNESS LLC is an adult day care clinic center in Norcross, GA. WHOLECARE WELLNESS LLC NPI is 1629626445. The provider is registered as an organization entity type.
The provider Is Doing Business As Wholecare Wellness.

The provider's business location address is:

5390 PEACHTREE INDUSTRIAL BLVD STE 130
NORCROSS, GA
ZIP 30071-566
Phone: (404) 797-1097

The provider's authorized official is Ji Lee .
The authorized official title is Adminstration and has the following contact phone number (404) 797-1097.

The enumeration date for this NPI number is 8/27/2019 and was last updated on 10/9/2019.

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	261QA0600X	Clinic/Center	Adult Day Care			Yes

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
1	417006435J	MEDICAID	GEORGIA
2	417006435G	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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