Healthcare Provider Details

I. General information

NPI: 1205349198
Provider Name (Legal Business Name): WELLNESS WAY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2017
Last Update Date: 11/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1385 S COLORADO BLVD STE 306
DENVER CO
80222-3315
US

IV. Provider business mailing address

1385 S COLORADO BLVD STE 306
DENVER CO
80222-3315
US

V. Phone/Fax

Practice location:
  • Phone: 303-722-2208
  • Fax: 303-722-4411
Mailing address:
  • Phone: 303-722-2208
  • Fax: 303-722-4411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1004L0
License Number StateCO

VIII. Authorized Official

Name: CHRISTOPHER MAESTAS
Title or Position: GENERAL MANAGER
Credential:
Phone: 303-722-2208