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Organization
WELLNESS AT HOME LLC
Active
Organization
WELLNESS AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISMA ALI (OWNER)
(605) 951-8424
Entity
Organization
Contact information
Practice address
707 W 11TH ST STE 4, SIOUX FALLS, SD 57104-3523
(605) 403-4775
Mailing address
1508 E 71ST ST N, SIOUX FALLS, SD 57104-9218
(605) 951-8424
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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