Organization
WALK IN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE CLARK-DICKES (BUSINESS DEVELOPMENT OFFICER)
(973) 666-2926
Entity
Organization
Contact information
Practice address
111 EPPS ST, GORDON, GA 31031-3805
(678) 437-1388
Mailing address
75 WASHINGTON ST UNIT 383, FAIRBURN, GA 30213-3604
(973) 666-2926
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/26/2024
Last updated
06/29/2024
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