| NPI | 1285017889 |
|---|---|
| Other Name | OPTIWELL MD |
| Entity Type | Organization |
| Authorized Contact | MARY BELL FEDERICO Owner 404-202-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 132700000X Dietary Manager (Licence: GA 61722) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |