Healthcare Provider Details
I. General information
NPI: 1982804753
Provider Name (Legal Business Name): FAMILY HEALTH & WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2007
Last Update Date: 07/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
217 E 7TH ST SUITE A
ANNISTON AL
36207-5725
US
IV. Provider business mailing address
217 E 7TH ST SUITE A
ANNISTON AL
36207-5725
US
V. Phone/Fax
- Phone: 256-237-9423
- Fax: 256-237-6007
- Phone: 256-237-9423
- Fax: 256-237-6007
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
E
WADE
Title or Position: PRESIDENT
Credential: DC
Phone: 256-237-9423