Healthcare Provider Details

I. General information

NPI: 1154956076
Provider Name (Legal Business Name): WELLNESS CENTER FOR ALL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2020
Last Update Date: 03/11/2020
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5442 HAYDEN STATION WAY APT 136
DUBLIN OH
43016-7562
US

IV. Provider business mailing address

5442 HAYDEN STATION WAY APT 136
DUBLIN OH
43016-7562
US

V. Phone/Fax

Practice location:
  • Phone: 614-815-9694
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: NASRA SIRAJI
Title or Position: DIRECTOR
Credential:
Phone: 614-649-1230