Organization
WELLNESS LIFESTYLES LLC
Active
Organization
WELLNESS LIFESTYLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KENNEDY VII (MEMBER)
(757) 497-7809
Entity
Organization
Contact information
Practice address
100 PENNSYLVANIA AVE, VIRGINIA BEACH, VA 23462-2512
(757) 497-7809
(757) 301-5050
Mailing address
100 PENNSYLVANIA AVE, VIRGINIA BEACH, VA 23462-2512
(757) 497-7809
(757) 301-5050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
VA
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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