MEDICARE: THE HEALTH AND WELLNESS CONSORTIUM INC.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1386042372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HEALTH AND WELLNESS CONSORTIUM INC.

Provider Business Mailing Address
First Line	:	1504 COUPLES ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-2155
Country	:	US
Telephone Number	:	702-373-6569
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 COUPLES ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-2155
Country	:	US
Telephone Number	:	702-373-6569
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN K RHODES
Credential	:
Telephone Number	:	702-373-6569

Provider Enumeration Date	:	12/08/2014
Last Update Date	:	12/08/2014

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