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Organization
CAPILONA WELLNESS SERVICES LLC
Active
Organization
CAPILONA WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYODEJI OKORAFOR NP (PRACTICE OWNER)
(781) 222-3979
Entity
Organization
Contact information
Practice address
58 MAIN ST STE 3, STURBRIDGE, MA 01566-1507
(781) 222-3979
(774) 206-1044
Mailing address
4334 ACUSHNET AVE, NEW BEDFORD, MA 02745-4614
(781) 222-3979
(774) 206-1044
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
03/11/2024
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