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1952907131
WELLVANA MICHIGAN LLC
NASHVILLE, TN
NPI
1952907131
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Entity Type
Organization
Authorized Contact
CATHERINE SMITH
VP Operations
860-501-7908
Organization Subpart ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2020-12-11
Last Update Date
2023-03-20
Business Address
WELLVANA MICHIGAN LLC
20 BURTON HILLS BLVD STE 100
NASHVILLE, TN 37215-6409
Phone number: 860-501-7908
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Mailing Address
WELLVANA MICHIGAN LLC
40 BURTON HILLS BLVD STE 100
NASHVILLE, TN 37215-6291
Phone number: 615-293-1372
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