# MARYLAND HEALTH, WELLNESS, AND REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** mdwellnessandrehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346637550
- **Authorized official:** ROEL MANUEL EVANGELISTA (MANAGING MEMBER)
- **Authorized official phone:** (602) 332-2490

## Contact information

- **Practice address:** 7542 RAIN FLOWER WAY, COLUMBIA, MD 21046-2438
- **Practice address phone:** (602) 332-2490
- **Mailing address:** 7542 RAIN FLOWER WAY, COLUMBIA, MD 21046-2438
- **Mailing address phone:** (602) 332-2490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2015
- **Last updated:** 04/26/2015