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Organization
WELLFORT LLC
Active
Organization
WELLFORT LLC
Active
Other names
Wellfort Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUIS RICHARDS RN (AUTHORIZED REPRESENTATIVE)
(352) 359-6726
Entity
Organization
Contact information
Practice address
2049 NE 15TH TER, GAINESVILLE, FL 32609-3978
(352) 359-6726
Mailing address
5764 N ORANGE BLOSSOM TRL, ORLANDO, FL 32810-1023
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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