Organization
WELLVANA COLORADO LLC
Active
Parent organization
WELLVANA HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLVANA HEALTH
Authorized official
MICHAEL PLATEK (CHIEF STRATEGY OFFICER)
(615) 293-1372
Entity
Organization
Contact information
Practice address
40 BURTON HILLS BLVD STE 100, NASHVILLE, TN 37215-6291
(615) 293-1372
Mailing address
40 BURTON HILLS BLVD STE 100, NASHVILLE, TN 37215-6291
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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