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NPI Code Detail

MEDICARE: WELLNESS WORLD ALLIANCE 'CODE SAVE OUR MEDICARE'

MEDICARE: WELLNESS WORLD ALLIANCE 'CODE SAVE OUR MEDICARE'
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
1261QH0100XHealth Service Clinic/Center127157VA

General Provider Information

NPI Number : 1154628220
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS WORLD ALLIANCE 'CODE SAVE OUR MEDICARE'
Provider Business Mailing Address
First Line : 708 RUE MARSEILLE
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-6671
Country : US
Telephone Number : 757-232-2400
Fax Number :
Provider Business Practice Location Address
First Line : 5749 AMBERBROOKE ARCH APT 102
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-9122
Country : US
Telephone Number : 757-232-2400
Fax Number :
Authorized Official
Title or Position : RVT/TECHNICAL DIRECTOR
Name : MS. SHENEKIA M BAKER
Credential :
Telephone Number : 757-685-7232
Provider Enumeration Date : 02/25/2011
Last Update Date : 02/25/2011

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Directions to “WELLNESS WORLD ALLIANCE 'CODE SAVE OUR MEDICARE' ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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