Organization
ULTIMATE HYDRATION AND WELLNESS CLINIC LLC
Active
Organization
ULTIMATE HYDRATION AND WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLAKE OSIBANJO NP-C (OWNER/MEMBER)
(203) 450-3051
Entity
Organization
Contact information
Practice address
1905 WOODSTOCK RD STE 6100, ROSWELL, GA 30075-5630
(470) 285-2750
(678) 404-5104
Mailing address
1905 WOODSTOCK RD STE 6100, ROSWELL, GA 30075-5630
(470) 285-2750
(678) 404-5104
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up