HOMELAND WELLNESS LLC; NPI #1760704308

Contact Information

HOMELAND WELLNESS LLC

6601 MEMORIAL HWY
SUITE 219
TAMPA, FL 33615-4501

Phone: 813-433-1669
Fax: 813-433-1724
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Corporate Health	261QC1800X

Indicates primary specialty

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NPI Profile & details for HOMELAND WELLNESS LLC

NPI Number	`1760704308`
LBN Legal business name	HOMELAND WELLNESS LLC
Authorized official	SHARON GRAY - (MANAGING MEMBER/CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/24/2010
Last updated	03/23/2010 - About 16 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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