1124749163 NPI number — ARABELLA HEALTH AND WELLNESS OF RUSSELLVILLE LLC

Table of content: (NPI 1124749163)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124749163 NPI number — ARABELLA HEALTH AND WELLNESS OF RUSSELLVILLE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARABELLA HEALTH AND WELLNESS OF RUSSELLVILLE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124749163
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/30/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3440 HOLLYWOOD BLVD STE 415
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOLLYWOOD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33021-6933
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-930-6124
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
705 GANDY ST NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RUSSELLVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35653-1913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-332-3773
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/08/2022

Additional Information

Authorized Official

Authorized Official Last Name:
HERTZEL
Authorized Official First Name:
CHAIM
Authorized Official Middle Name:
N
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
901-930-6124

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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