Organization
HISC WELLNESS 360
Active
Other names
Wellness 360
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MP WILSON ESQ. (CHIEF OPERATING OFFICER)
(301) 452-2599
Entity
Organization
Contact information
Practice address
14001 TOLLISON DRIVE, BOWIE, MD 20720
(301) 452-2599
Mailing address
14001 TOLLISON DRIVE, BOWIE, MD 20720
(301) 452-2599
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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