Organization
ILLUMIA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L. COMBS (VP OF LICENSURE)
(704) 662-1761
Entity
Organization
Contact information
Practice address
3580 LINDEN AVE STE A1, WHITE BEAR LAKE, MN 55110-4625
(704) 664-2876
(704) 230-0946
Mailing address
PO BOX 4060, ATTN: REGULATORY, MOORESVILLE, NC 28117-4060
(704) 664-2876
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
05/16/2025
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