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Organization
MY WELLNESS SPACE LLC
Active
Organization
MY WELLNESS SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WADHA EID COTA (OWNER)
(301) 752-6038
Entity
Organization
Contact information
Practice address
117 COCONUT KEY LN, DELRAY BEACH, FL 33484-8832
(301) 752-6038
Mailing address
117 COCONUT KEY LN, DELRAY BEACH, FL 33484-8832
(301) 752-6038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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