Healthcare Provider Details

I. General information

NPI: 1922867647
Provider Name (Legal Business Name): WELFORE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 PEMBROKE AVE APT 1207
NORFOLK VA
23507-2057
US

IV. Provider business mailing address

601 PEMBROKE AVE APT 1207
NORFOLK VA
23507-2057
US

V. Phone/Fax

Practice location:
  • Phone: 866-591-3438
  • Fax:
Mailing address:
  • Phone: 866-591-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: MS. ANN-MARIE AUSTIN-STEPHENS
Title or Position: CEO
Credential: CHEM. ENGR; MBA
Phone: 804-267-0379