Organization
BLOOMWELL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINONYE EGBULEM (OWNER)
(202) 688-5987
Entity
Organization
Contact information
Practice address
128 S TRYON ST FL 18, CHARLOTTE, NC 28202-5001
(202) 688-5987
Mailing address
128 S TRYON ST FL 18, CHARLOTTE, NC 28202-5001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
09/12/2024
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