| NPI | 1295044931 |
|---|---|
| Former Legal Business Name | PERFORMANCE HEALTH& WELLNESS CENTER INC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A HALL Owner 561-370-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |