| NPI | 1992431027 |
|---|---|
| Doing Business As | EMPIRE WELLNESS AND TREATMENT CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | DANIEL FALLAH CEO 502-218-9762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-07-29 |