Healthcare Provider Details

I. General information

NPI: 1669160529
Provider Name (Legal Business Name): LARTEY WELLNESS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 09/06/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 SANDY SPRING RD STE 250H
LAUREL MD
20707-3527
US

IV. Provider business mailing address

8101 SANDY SPRING RD STE 250H
LAUREL MD
20707-3527
US

V. Phone/Fax

Practice location:
  • Phone: 301-524-2273
  • Fax:
Mailing address:
  • Phone: 301-524-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FRANKLIN LARTEY
Title or Position: CEO
Credential:
Phone: 301-524-2273