# WELLLIFE HOUSE CALLS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497010771
- **Authorized official:** DWAN KELSEY NP (OWNER)
- **Authorized official phone:** (919) 829-1315

## Contact information

- **Practice address:** 211 E SIX FORKS RD, SUITE 122, RALEIGH, NC 27609-7745
- **Practice address phone:** (919) 829-1315
- **Mailing address:** 211 E SIX FORKS RD, SUITE 122, RALEIGH, NC 27609-7745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 136549 | NC | Yes |

## Other

- **Enumeration date:** 07/11/2012
- **Last updated:** 07/11/2012