WELLVANA MARYLAND, LLC

NASHVILLE, TN
NPI1699407502
Entity TypeOrganization
Authorized ContactKYLE WAILES
CEO
401-378-7336
Organization Subpart ?Yes
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2022-06-29
Last Update Date2022-06-29
Business Address
WELLVANA MARYLAND, LLC
4840 CENTENNIAL BLVD STE 202
NASHVILLE, TN 37209-1792
Phone number: 860-501-7908
Mailing Address
WELLVANA MARYLAND, LLC
4840 CENTENNIAL BLVD STE 202
NASHVILLE, TN 37209-1792
Phone number:
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