Organization
ONE HUNDRED PERCENT WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK ADAMS (PRESIDENT)
(702) 275-5190
Entity
Organization
Contact information
Practice address
4559 SPARWOOD DR, LAS VEGAS, NV 89147-8212
(702) 275-5190
(702) 275-5190
Mailing address
4559 SPARWOOD DR, LAS VEGAS, NV 89147-8212
(702) 275-5190
(702) 275-5190
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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