Organization
MINDFUL WELLNESS CARE LLC
Active
Other names
MINDFUL WELLNESS CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY A ELLSWORTH III (EXECUTIVE DIRECTOR)
(757) 597-3309
Entity
Organization
Contact information
Practice address
4445 CORPORATION LN STE 241, VIRGINIA BEACH, VA 23462-3676
(757) 597-3309
Mailing address
4445 CORPORATION LN STE 241, VIRGINIA BEACH, VA 23462-3676
(757) 597-3309
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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