# WALLACE HEALTH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1598356289
- **Authorized official:** MRS. COLLEEN WALLACE NP-C (OWNER)
- **Authorized official phone:** (352) 747-0747

## Contact information

- **Practice address:** 287 S CENTRAL AVE, UMATILLA, FL 32784-8411
- **Practice address phone:** (352) 747-0747
- **Mailing address:** PO BOX 2485, UMATILLA, FL 32784-2485
- **Mailing address phone:** (352) 551-9404

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2021
- **Last updated:** 01/27/2021