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Organization
TRANSFORMING WELLNESS LLC
Active
Organization
TRANSFORMING WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIA WADDELL EDD (CEO)
(708) 362-1697
Entity
Organization
Contact information
Practice address
2997 NC HIGHWAY 210 W, HAMPSTEAD, NC 28443-3481
(708) 362-1697
(813) 271-0717
Mailing address
2997 NC HIGHWAY 210 W, HAMPSTEAD, NC 28443-3481
(708) 362-1697
(813) 271-0717
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
342000000X
Transportation Network Company
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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