Organization
WHOLECARE WELLNESS LLC
Active
Other names
wholecare wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JI LEE (ADMINSTRATION)
(404) 797-1097
Entity
Organization
Contact information
Practice address
5390 PEACHTREE INDUSTRIAL BLVD STE 130, NORCROSS, GA 30071-1566
(404) 797-1097
Mailing address
5390 PEACHTREE INDUSTRIAL BLVD STE 130, NORCROSS, GA 30071-1566
(404) 797-1097
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417006435G
—
GA
05
—
417006435J
—
GA
Enumeration date
08/27/2019
Last updated
10/09/2019
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