Healthcare Provider Details

I. General information

NPI: 1447258595
Provider Name (Legal Business Name): WELLNESS HEALTHCARE PRODUCTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 06/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 INTERSTATE DR
COOKEVILLE TN
38501-4123
US

IV. Provider business mailing address

1430 INTERSTATE DR
COOKEVILLE TN
38501-4123
US

V. Phone/Fax

Practice location:
  • Phone: 888-901-2101
  • Fax:
Mailing address:
  • Phone: 888-901-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: KAREN S DUNN
Title or Position: OWNER
Credential:
Phone: 888-901-2101