Organization
THRIVE WELLNESS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HEPPENHEIMER (PRESIDENT)
(631) 766-2417
Entity
Organization
Contact information
Practice address
109 SOUNDVIEW TER, NORTHPORT, NY 11768-1231
(631) 766-2417
Mailing address
109 SOUNDVIEW TER, NORTHPORT, NY 11768-1231
(631) 766-2417
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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