NPI | 1770201501 |
---|---|
Doing Business As | PURE HYDRATION & WELLNESS LLC |
Entity Type | Organization |
Authorized Contact | TIARA BROADY Owner 234-525-7606 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2022-08-18 |
Last Update Date | 2022-08-18 |