MEDICARE: ALL WELLNESS LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1295669471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL WELLNESS LLC

Provider Business Mailing Address
First Line	:	9207 N 37TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-3314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9207 N 37TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-3314
Country	:	US
Telephone Number	:	904-594-4319
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ROBERT MILLER
Credential	:
Telephone Number	:	904-594-4319

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ALL WELLNESS LLC ” Practice Location

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