Organization
OPTIMIZED WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY DANIELS RPH (OWNER)
(774) 266-4672
Entity
Organization
Contact information
Practice address
290 BRIGGS RD, WESTPORT, MA 02790-4041
(774) 266-4672
Mailing address
290 BRIGGS RD, WESTPORT, MA 02790-4041
(774) 266-4672
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
08/22/2022
Last updated
08/29/2022
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