| Foundation Wellness Center | |
|
317 W South Boulder Rd Suite 2 Louisville CO 80027-1289 | |
| (303) 604-6040 | |
| (303) 313-0994 |
| Full Name | Foundation Wellness Center |
|---|---|
| Speciality | Clinic/center |
| Location | 317 W South Boulder Rd, Louisville, Colorado |
| Authorized Official Name and Position | Wesley Michael Cavanaugh (OWNER/MEMBER) |
| Authorized Official Contact | 3036046040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Wellness Center 317 W South Boulder Rd Suite 2 Louisville CO 80027-1289 Ph: (303) 604-6040 | Foundation Wellness Center 317 W South Boulder Rd Suite 2 Louisville CO 80027-1289 Ph: (303) 604-6040 |
| NPI Number | 1811205073 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811205073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6428 (Colorado) | Primary |
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