| NPI | 1609317122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANDRE WELLS Founder/CEO 443-839-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 133N00000X Nutritionist |
| 251E00000X Home Health | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |