Organization
EMBARC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WILLIAMS (MEMBER)
(504) 603-7223
Entity
Organization
Contact information
Practice address
40085 OLDE MILL LN, PONCHATOULA, LA 70454-9101
(504) 603-7223
Mailing address
40085 OLDE MILL LN, PONCHATOULA, LA 70454-9101
(504) 603-7223
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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