Organization
WHOLENESS LIFESTYLE SERVICES, LLC
Active
Organization
WHOLENESS LIFESTYLE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CYRIL CHUKWUEMEKA OKORO (CEO)
(240) 779-5380
Entity
Organization
Contact information
Practice address
4310 REVEREND EVERSFIELD CT, UPPER MARLBORO, MD 20772-2917
(240) 779-5380
Mailing address
4310 REVEREND EVERSFIELD CT, UPPER MARLBORO, MD 20772-2917
(240) 779-5380
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up