Organization
INNERVISION WELLNESS SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY WIGGINS (DIRECTOR)
(336) 314-7105
Entity
Organization
Contact information
Practice address
683 COTTAGE ST NE, SALEM, OR 97301-2419
(336) 314-7105
Mailing address
683 COTTAGE ST NE, SALEM, OR 97301-2419
(336) 314-7105
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
02/09/2024
Last updated
09/20/2024
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