Healthcare Provider Details

I. General information

NPI: 1326150798
Provider Name (Legal Business Name): MOBILE WELLNESS SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9846 E CRESTLINE CIR
GREENWOOD VILLAGE CO
80111-3628
US

IV. Provider business mailing address

9846 E CRESTLINE CIR
GREENWOOD VILLAGE CO
80111-3628
US

V. Phone/Fax

Practice location:
  • Phone: 720-935-3690
  • Fax: 720-529-1090
Mailing address:
  • Phone: 720-935-3690
  • Fax: 720-529-1090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DARLENE H. STONE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN
Phone: 720-935-3690