# MINDFUL WELLNESS CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MINDFUL WELLNESS CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497522304
- **Authorized official:** MR. LEROY A ELLSWORTH III (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (757) 597-3309

## Contact information

- **Practice address:** 4445 CORPORATION LN STE 241, VIRGINIA BEACH, VA 23462-3676
- **Practice address phone:** (757) 597-3309
- **Mailing address:** 4445 CORPORATION LN STE 241, VIRGINIA BEACH, VA 23462-3676
- **Mailing address phone:** (757) 597-3309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2023
- **Last updated:** 12/11/2023