Organization
WELLWARD VITALITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CHISHOLM (OWNER/ MANAGING MEMBER)
(267) 694-0617
Entity
Organization
Contact information
Practice address
223 E MAIN ST, LANSDALE, PA 19446-2520
(267) 694-0617
Mailing address
223 E MAIN ST, LANSDALE, PA 19446-2520
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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