Organization
PERSONAL CONTROL AND WELLNESS CONSULTING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLA ANGELIQUE D CAUSEY (OWNER)
(260) 479-7173
Entity
Organization
Contact information
Practice address
6030 E STATE BLVD, FORT WAYNE, IN 46815-7639
(260) 452-0554
Mailing address
6030 E STATE BLVD, FORT WAYNE, IN 46815-7639
(260) 452-0554
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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