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NPI Code Detail

MEDICARE: WHOLE LIFE HEALTH THERAPY AND WELLNESS CENTER

MEDICARE: WHOLE LIFE HEALTH THERAPY AND WELLNESS CENTER
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1841542339
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHOLE LIFE HEALTH THERAPY AND WELLNESS CENTER
Provider Business Mailing Address
First Line : 4550 W OAKEY BLVD
Second Line : STE 99A
City : LAS VEGAS
State : NV
Zip : 89102-1506
Country : US
Telephone Number : 702-321-6222
Fax Number :
Provider Business Practice Location Address
First Line : 4550 W OAKEY BLVD
Second Line : STE 99A
City : LAS VEGAS
State : NV
Zip : 89102-1581
Country : US
Telephone Number : 702-321-6222
Fax Number :
Authorized Official
Title or Position : CEO
Name : MICHELLE JACKSON
Credential :
Telephone Number : 702-321-6222
Provider Enumeration Date : 10/08/2012
Last Update Date : 10/08/2012

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Directions to “WHOLE LIFE HEALTH THERAPY AND WELLNESS CENTER ” Practice Location

Language Start Address Practice Location
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.