MEDICARE: YOUR HEALTH AND WELLNESS COMPANY, 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	251J00000X	Nursing Care Agency	2190000	NC

General Provider Information

NPI Number	:	1942683446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR HEALTH AND WELLNESS COMPANY, INC.

Provider Business Mailing Address
First Line	:	2920 N TRYON ST STE 212
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28206-2761
Country	:	US
Telephone Number	:	704-604-3089
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 N TRYON ST STE 212
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28206-2761
Country	:	US
Telephone Number	:	704-604-3089
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BOBBIE COVINGTON STOKES
Credential	:	MSHE
Telephone Number	:	704-604-3089

Provider Enumeration Date	:	07/01/2015
Last Update Date	:	07/01/2015

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