| Tree Of Life Wellness Plc | |
|
3830 Packard St Ste 230 Ann Arbor MI 48108-2273 | |
| (734) 890-1158 | |
| Not Available |
| Full Name | Tree Of Life Wellness Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3830 Packard St Ste 230, Ann Arbor, Michigan |
| Authorized Official Name and Position | Kristina Leigh Bahrou (OWNER) |
| Authorized Official Contact | 7348901158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Wellness Plc 3672 Prospect Rd Ann Arbor MI 48105-9534 Ph: () - | Tree Of Life Wellness Plc 3830 Packard St Ste 230 Ann Arbor MI 48108-2273 Ph: (734) 890-1158 |
| NPI Number | 1790326510 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 10/02/2019 |
| Medicare PECOS PAC ID | 5395177653 |
|---|---|
| Medicare Enrollment ID | O20191107002170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790326510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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