Organization
INNOVATIVE WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP YODER (OWNER)
(717) 272-2816
Entity
Organization
Contact information
Practice address
1640 CORNWALL RD, LEBANON, PA 17042-7405
(717) 272-2816
Mailing address
1640 CORNWALL RD, LEBANON, PA 17042-7405
(717) 272-2816
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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