| Multicultural Wellness Center Inc | |
|
44 Front St Fl 3 Worcester MA 01608-1733 | |
| (508) 752-4665 | |
| (508) 752-0947 |
| Full Name | Multicultural Wellness Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 44 Front St Fl 3, Worcester, Massachusetts |
| Authorized Official Name and Position | Debra R Maddox (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5084505882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multicultural Wellness Center Inc 44 Front St Fl 3 Worcester MA 01608-1733 Ph: (774) 321-0665 | Multicultural Wellness Center Inc 44 Front St Fl 3 Worcester MA 01608-1733 Ph: (508) 752-4665 |
| NPI Number | 1497995757 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Medicare PECOS PAC ID | 9739347303 |
|---|---|
| Medicare Enrollment ID | O20120229000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497995757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sheila R Wells |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477517407 PECOS PAC ID: 6608935044 Enrollment ID: I20081030000345 |
| Provider Name | Princess A Caesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912051491 PECOS PAC ID: 8224352810 Enrollment ID: I20150202000081 |
| Provider Name | Patricia Antos Long |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1023491362 PECOS PAC ID: 2062728843 Enrollment ID: I20160120000431 |
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