Organization
WELLNESS CARE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH DIANE DURHAM (ADMINISTRATOR)
(459) 831-2541
Entity
Organization
Contact information
Practice address
2107 N COLLINS BLVD, RICHARDSON, TX 75080-2638
(972) 763-0899
(800) 669-2161
Mailing address
2107 N COLLINS BLVD, RICHARDSON, TX 75080-2638
(972) 763-0899
(800) 669-2161
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1549677-01
—
TX
Enumeration date
09/07/2006
Last updated
02/26/2024
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