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Organization
TIME WELLNESS LLC
Active
Organization
TIME WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANEIL FESEFELDT (DOO)
(954) 654-2350
Entity
Organization
Contact information
Practice address
39 STEVENS HOLLOW RD, TAFT, TN 38488-5269
(423) 413-6195
Mailing address
PO BOX 1328, NEWNAN, GA 30264-1328
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
12/14/2022
Last updated
07/06/2026
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