Organization
WELLVANA MISSISSIPPI LLC
Active
Parent organization
WELLVANA HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLVANA HEALTH
Authorized official
MICHAEL PLATEK (CHIEF STRATEGY DEVELOPMENT OFFICER)
(615) 293-1372
Entity
Organization
Contact information
Practice address
40 BURTON HILLS BLVD STE 100, NASHVILLE, TN 37215-6291
(615) 293-1372
Mailing address
40 BURTON HILLS BLVD STE 100, NASHVILLE, TN 37215-6291
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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