# WELL INFUSED, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEGACY IMPACT HOLDINGS, LLC
- **Other names:** Well Infused
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477204550
- **Legal business name:** LEGACY IMPACT HOLDINGS, LLC
- **Authorized official:** DR. STACI J BLUME DC (OWNER / PARTNER)
- **Authorized official phone:** (317) 674-8857

## Contact information

- **Practice address:** 14297 BERGEN BLVD STE 125, NOBLESVILLE, IN 46060-3420
- **Practice address phone:** (317) 674-8857
- **Mailing address:** 14297 BERGEN BLVD STE 125, NOBLESVILLE, IN 46060-3420
- **Mailing address phone:** (317) 674-8857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2022
- **Last updated:** 10/17/2022