# EMBARC WELLNESS

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

## Provider details

- **NPI number:** 1578174330
- **Authorized official:** DANIEL WILLIAMS (MEMBER)
- **Authorized official phone:** (504) 603-7223

## Contact information

- **Practice address:** 40085 OLDE MILL LN, PONCHATOULA, LA 70454-9101
- **Practice address phone:** (504) 603-7223
- **Mailing address:** 40085 OLDE MILL LN, PONCHATOULA, LA 70454-9101
- **Mailing address phone:** (504) 603-7223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2020
- **Last updated:** 08/13/2020
