Organization
WELLNESS COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL WAYNE LINN (PRESIDENT)
(401) 461-0662
Entity
Organization
Contact information
Practice address
132A GEORGE M COHAN BLVD, PROVIDENCE, RI 02903-4410
(401) 461-0662
(401) 461-3825
Mailing address
132A GEORGE M COHAN BLVD, PROVIDENCE, RI 02903-4410
(401) 461-0662
(401) 461-3825
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23999
BLUE CROSS/BLUE SHIELD RI
RI
01
—
409982
BLUE CHIP OF RI
RI
Enumeration date
05/26/2006
Last updated
11/03/2010
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