| Ultimate Healing Wellness Center, Llc | |
|
2856 Glenbrook Dr Gretna LA 70056-7910 | |
| (504) 442-6943 | |
| Not Available |
| Full Name | Ultimate Healing Wellness Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2856 Glenbrook Dr, Gretna, Louisiana |
| Authorized Official Name and Position | Genene Mcdonald Coleman (OWNER) |
| Authorized Official Contact | 5044426943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Healing Wellness Center, Llc 2856 Glenbrook Dr Gretna LA 70056-7910 Ph: (504) 442-6943 | Ultimate Healing Wellness Center, Llc 2856 Glenbrook Dr Gretna LA 70056-7910 Ph: (504) 442-6943 |
| NPI Number | 1497250609 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497250609 | NPI | - | NPPES |
| 132708 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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