Organization
REJUVENATING HEALTH AND WELLNESS, LLC
Active
Other names
Rejuvenating Health and Wellness Care Home, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAMIKA WALL MSN, APRN, AGPCNP-BC (NP AND RN)
(901) 484-9099
Entity
Organization
Contact information
Practice address
8254 WEATHERWOOD LN, CORDOVA, TN 38018-6344
(901) 484-9099
(470) 222-2771
Mailing address
PO BOX 515, CORDOVA, TN 38088-0515
(901) 484-9099
(470) 222-2771
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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