Akasha Wellness | |
350 Zach Ln Ozark IL 62972-1119 | |
(618) 889-9570 | |
Not Available |
Full Name | Akasha Wellness |
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Speciality | Clinic/center |
Location | 350 Zach Ln, Ozark, Illinois |
Authorized Official Name and Position | Nicole Lence (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6188899570 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Akasha Wellness 350 Zach Ln Ozark IL 62972-1119 Ph: () - | Akasha Wellness 350 Zach Ln Ozark IL 62972-1119 Ph: (618) 889-9570 |
NPI Number | 1881076859 |
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Provider Enumeration Date | 06/25/2015 |
Last Update Date | 06/25/2015 |
Identifier | Type | State | Issuer |
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1881076859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 164.006153 (Illinois) | Primary |