The Wholistic Center For Wellness Inc | |
1014 N High St Millville NJ 08332-2527 | |
(856) 690-0627 | |
(856) 690-0627 |
Full Name | The Wholistic Center For Wellness Inc |
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Speciality | Internal Medicine |
Location | 1014 N High St, Millville, New Jersey |
Authorized Official Name and Position | Lorraine Michelle Sanlvcci (ADULT NP CEO PRESIDENT) |
Authorized Official Contact | 8566900627 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Wholistic Center For Wellness Inc 1014 N High St Millville NJ 08332-2527 Ph: (856) 690-0627 | The Wholistic Center For Wellness Inc 1014 N High St Millville NJ 08332-2527 Ph: (856) 690-0627 |
NPI Number | 1194712448 |
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Provider Enumeration Date | 10/03/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4183678980 |
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Medicare Enrollment ID | O20050304000010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194712448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lorraine M Santucci |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538154349 PECOS PAC ID: 6800840604 Enrollment ID: I20050307000017 |
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