| Hydro Heal Llc | |
|
273 Ridge Ln Apt 308 Waltham MA 02452-4990 | |
| (857) 316-8020 | |
| Not Available |
| Full Name | Hydro Heal Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 273 Ridge Ln Apt 308, Waltham, Massachusetts |
| Authorized Official Name and Position | Pearl Alweny (CEO) |
| Authorized Official Contact | 8573168020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hydro Heal Llc Po Box 541378 Waltham MA 02454-1378 Ph: (857) 316-8020 | Hydro Heal Llc 273 Ridge Ln Apt 308 Waltham MA 02452-4990 Ph: (857) 316-8020 |
| NPI Number | 1811761364 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Medicare PECOS PAC ID | 1951751908 |
|---|---|
| Medicare Enrollment ID | O20240103001879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811761364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Pearl Alweny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255830543 PECOS PAC ID: 7012321474 Enrollment ID: I20210126000656 |
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