Organization
ABUNDANT LIFE TOTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYBIL D WISE (FOUNDER)
(614) 592-3010
Entity
Organization
Contact information
Practice address
4200 REGENT ST, COLUMBUS, OH 43219-6229
(877) 868-8777
(740) 365-1105
Mailing address
2581 COLTS NECK RD, BLACKLICK, OH 43004-9649
(614) 592-3010
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
07/05/2024
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