# WELLNESS IN THE GOLDEN YEARS, LLC

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

## Provider details

- **NPI number:** 1578066114
- **Authorized official:** HOLLY PORTILLO NURSE PRACTITIONER (MANAGER/CO-OWNER)
- **Authorized official phone:** (254) 721-2563

## Contact information

- **Practice address:** 421 W EST MAIN STREET, ROSEBUD, TX 76570
- **Practice address phone:** (254) 721-2563
- **Mailing address:** PO BOX 64, ROSEBUD, TX 76570-0064
- **Mailing address phone:** (254) 721-2563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2018
- **Last updated:** 07/27/2018