Enhanced Wellness, Pllc in Jackson - Health Service
Enhanced Wellness, Pllc - NPI 1811098866
Enhanced Wellness, Pllc is a Health Service in Jackson, Mississippi. Enhanced Wellness, Pllc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Enhanced Wellness, Pllc is 1811098866. The last update date is 2013-10-07.
Enhanced Wellness, Pllc's current location address is 1855 Lakeland Drive, Jackson, Mississippi. You can contact this provider via phone number 6013641132 and fax number 6013641134. The mailing address for Enhanced Wellness, Pllc is 1855 Lakeland Drive, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Enhanced Wellness, Pllc |
|---|---|
| Address | 1855 Lakeland Drive, Jackson, Mississippi |
| Phone Number | 6013641132 |
| Fax Number | 6013641134 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC ADM |
|---|---|
| Authorized Official Name | Blanco Felice Katherine |
| Credentials | RHIA |
| Telephone Number | 6013641132 |
NPI Number Detail
| NPI Number | 1811098866 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2013-10-07 |
Provider Mailing Address Detail
| Address | 1855 Lakeland Drive |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39216 |
| Phone Number | 6013641132 |
| Fax Number | 6013641134 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
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Definition: Provides general outpatient medical care by physicians and other providers. |
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Post Comment/ Review Below
What is the unique identifier code issued to Enhanced Wellness, Pllc by the Centers for Medicare & Medicaid Services?
The Enhanced Wellness, Pllc has been assigned the NPI (National Provider Identifier) 1811098866. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Enhanced Wellness, Pllc?
The Enhanced Wellness, Pllc is situated at 1855 Lakeland Drive, in the city of Jackson, state of MS, with the zip code 39216.
What is Enhanced Wellness, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Enhanced Wellness, Pllc is Health Service, and the corresponding taxonomy classification code for this specialized field is 261Qh0100X.
On what date did the Enhanced Wellness, Pllc receive the assignment of its 1811098866 from the Centers for Medicare & Medicaid Services?
The Enhanced Wellness, Pllc was issued its 1811098866 by the Centers for Medicare & Medicaid Services on 2006-09-25.
When was the information related to Enhanced Wellness, Pllc most recently updated or refreshed?
The details pertaining to the Enhanced Wellness, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-10-07.
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