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Organization

KHRONIC HELPERZ LLC

Active
Parent organization
DIVERSITY HEALTH AND WELLNESS LLC
Other names
CHRONIC CARDZ LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIVERSITY HEALTH AND WELLNESS LLC
Authorized official
SHANTELL ROBINSON (OWNER)
(405) 362-6399
Entity
Organization

Contact information

Practice address
1415 NW 43RD ST STE 104, OKLAHOMA CITY, OK 73118-5027
(844) 394-4362
(405) 444-3014
Mailing address
1415 NW 43RD ST STE 104, OKLAHOMA CITY, OK 73118-5027
(844) 394-4362
(405) 444-3014

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558675074
OK
05
1790418283
OK
05
71708
OK
05
F0610518
OK
Enumeration date
09/05/2022
Last updated
09/05/2022
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