MEDICARE: WHOLE HEALTH LIFESTYLES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1366326373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE HEALTH LIFESTYLES LLC

Provider Business Mailing Address
First Line	:	134 CHARGEUR RD
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-1118
Country	:	US
Telephone Number	:	202-596-6573
Fax Number	:	443-817-0478

Provider Business Practice Location Address
First Line	:	134 CHARGEUR RD
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-1118
Country	:	US
Telephone Number	:	202-596-6573
Fax Number	:	443-817-0478

Authorized Official
Title or Position	:	OWNER
Name	:	LOUIS DANIEL SNOWDEN JR.
Credential	:
Telephone Number	:	202-596-6573

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	02/12/2026

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