Healthcare Provider Details

I. General information

NPI: 1023789997
Provider Name (Legal Business Name): FEEL WELL RESTED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9256 BENDIX RD STE 100
COLUMBIA MD
21045-1843
US

IV. Provider business mailing address

9256 BENDIX RD STE 100
COLUMBIA MD
21045-1843
US

V. Phone/Fax

Practice location:
  • Phone: 410-744-6088
  • Fax:
Mailing address:
  • Phone: 410-744-6088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARI MOSKOWITZ
Title or Position: OWNER
Credential:
Phone: 410-744-0702