Healthcare Provider Details

I. General information

NPI: 1902505266
Provider Name (Legal Business Name): BEST LEVEL WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 02/27/2023
Certification Date: 02/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4639 FALLS RD
BALTIMORE MD
21209-4914
US

IV. Provider business mailing address

4639 FALLS RD
BALTIMORE MD
21209-4914
US

V. Phone/Fax

Practice location:
  • Phone: 443-865-6210
  • Fax: 443-200-0240
Mailing address:
  • Phone: 443-865-6210
  • Fax: 443-200-0240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELESHIA THOMAS
Title or Position: CEO/OWNER
Credential:
Phone: 443-865-6210