Organization
INDEPENDENT WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH WOOD RN (DIRECTOR OF NURSING)
(404) 558-1794
Entity
Organization
Contact information
Practice address
10 GLENLAKE PKWY STE 130, ATLANTA, GA 30328-3495
(800) 422-2346
Mailing address
10 GLENLAKE PKWY STE 130, ATLANTA, GA 30328-3495
(800) 422-2346
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
07/21/2021
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