NPI | 1053202713 |
---|---|
Doing Business As | PELLA CORPORATION WELLNESS CENTER, POWERED BY PREMISE HEALTH |
Entity Type | Organization |
Authorized Contact | JONATHAN B LEIZMAN President 615-468-6270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2025-07-11 |
Last Update Date | 2025-07-11 |