# VIP WELLNESS, LLC

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

## Provider details

- **NPI number:** 1578272076
- **Authorized official:** CHAD CARRONE RN (CLINICAL DIRECTOR)
- **Authorized official phone:** (985) 788-7676

## Contact information

- **Practice address:** 10 SAINT ANN DR, MANDEVILLE, LA 70471-3265
- **Practice address phone:** (985) 788-7676
- **Practice address fax:** (985) 778-2076
- **Mailing address:** 10 SAINT ANN DR, MANDEVILLE, LA 70471-3265
- **Mailing address phone:** (985) 788-7676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2022
- **Last updated:** 11/23/2022