Organization
CONTINUIM WELLNESS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WILSON L,AC. (MANAGER)
(219) 689-5563
Entity
Organization
Contact information
Practice address
14785 W 101ST AVE # 101, DYER, IN 46311-3371
(219) 689-5563
(219) 979-5253
Mailing address
14785 W 101ST AVE # 101, DYER, IN 46311-3371
(219) 689-5563
(219) 979-5253
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
11/18/2021
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