| NPI | 1619274156 |
|---|---|
| Doing Business As | REGIONAL WELLNESS ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RENATA STURDIVANT Sole Proprietor 309-258-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-19 |