| NPI | 1457006660 |
|---|---|
| Other Name | ELIVATE WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | OLIVIA STIVERS Owner 502-338-2561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |