DIVERSIFIED HEALTH AND WELLNESS CENTER NPI 1962976084

NPI Information

NPI: 1962976084
Provider Name: DIVERSIFIED HEALTH AND WELLNESS CENTER
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
11042 MANCHESTER RD
KIRKWOOD, MO
ZIP 63122
Phone: (844) 462-3492
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DIVERSIFIED HEALTH AND WELLNESS CENTER is a public health or welfare in Kirkwood, MO. DIVERSIFIED HEALTH AND WELLNESS CENTER NPI is 1962976084. The provider is registered as an organization entity type.

The provider's business location address is:

11042 MANCHESTER RD
KIRKWOOD, MO
ZIP 63122-244
Phone: (844) 462-3492
Fax: (314) 596-4559

The provider's authorized official is Marsha Y Bradford .
The authorized official title is Owner and has the following contact phone number (314) 313-1962.

The enumeration date for this NPI number is 1/12/2019 and was last updated on 1/12/2019.

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	251K00000X	Public Health or Welfare				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: 5/5/2024

NPI Synchronization or Removal

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