| NPI | 1043040413 |
|---|---|
| Doing Business As | WELLNESSHOPPE |
| Doing Business As | MOBILEMOGUL |
| Doing Business As | ROYALRESPITE |
| Doing Business As | WELLNESS SHOPPE |
| Entity Type | Organization |
| Authorized Contact | DORIS V WALEKR Owner 262-504-0241 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 106S00000X Behavior Technician | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 163WH1000X Registered Nurse, Hospice | |
| 2278E0002X Respiratory Therapist, Certified, Emergency Care | |
| 251E00000X Home Health | |
| 251T00000X PACE Provider Organization | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QG0250X Clinic/Center, Genetics | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-09-13 |