# CAPILONA WELLNESS SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033703848
- **Authorized official:** AYODEJI OKORAFOR NP (PRACTICE OWNER)
- **Authorized official phone:** (781) 222-3979

## Contact information

- **Practice address:** 58 MAIN ST STE 3, STURBRIDGE, MA 01566-1507
- **Practice address phone:** (781) 222-3979
- **Practice address fax:** (774) 206-1044
- **Mailing address:** 4334 ACUSHNET AVE, NEW BEDFORD, MA 02745-4614
- **Mailing address phone:** (781) 222-3979
- **Mailing address fax:** (774) 206-1044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2021
- **Last updated:** 03/11/2024