Organization
WELLNESS CENTER WYOMING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUMBERTO DE LA CRUZ (C E O)
(267) 975-2025
Entity
Organization
Contact information
Practice address
120 W WYOMING AVE, PHILADELPHIA, PA 19140-1629
(267) 297-6848
Mailing address
120 W WYOMING AVE, PHILADELPHIA, PA 19140-1629
(267) 297-6848
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
04/05/2010
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