Organization
AMERICAN GROUP FITNESS, AGX-LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEANDRE WELLS GROUP EXCER TRAIN (FOUNDER/CEO)
(443) 839-6240
Entity
Organization
Contact information
Practice address
4 MAYFLOWER CT, BUSH STREET, PIKESVILLE, MD 21208-6043
(443) 839-6240
Mailing address
4 MAYFLOWER COURT, PIKESVILLE, MD 21208
(443) 839-6240
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
251E00000X
Home Health Agency
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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