Organization
WELLVANA PREMIER CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY MEYERS (CEO)
(773) 562-6740
Entity
Organization
Contact information
Practice address
40 BURTON HILLS BLVD STE 100, NASHVILLE, TN 37215-6291
(248) 943-1132
Mailing address
40 BURTON HILLS BLVD STE 100, NASHVILLE, TN 37215-6291
(248) 943-1132
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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