NPI | 1316604515 |
---|---|
Doing Business As | LIFE WELL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | PHILIP BLAKE MUSICK Owner/Authorized Official 276-591-7035 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207R00000X Internal Medicine |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2021-11-22 |
Last Update Date | 2025-08-26 |