MEDICARE: RNUMOU HEALTH AND WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	846929	CA

General Provider Information

NPI Number	:	1033531199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RNUMOU HEALTH AND WELLNESS

Provider Business Mailing Address
First Line	:	3104 O ST
Second Line	:	#363
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-6519
Country	:	US
Telephone Number	:	727-495-6683
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 ANDREW AVILES CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-5007
Country	:	US
Telephone Number	:	727-495-6683
Fax Number	:

Authorized Official
Title or Position	:	MGRM
Name	:	MOUSUMI CROWLEY
Credential	:	RN
Telephone Number	:	727-495-6683

Provider Enumeration Date	:	01/09/2014
Last Update Date	:	10/22/2015

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Directions to “RNUMOU HEALTH AND WELLNESS ” Practice Location

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