National Provider Identifier Database

HYACINTH WELLNESS LLC
Professional


Contact Information

HYACINTH WELLNESS, LLC
1224 M ST NW STE 200
WASHINGTON, DC20005-5225
Phone: 202-850-0641
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for HYACINTH WELLNESS, LLC

NPI Number 1467071985
Legal business name
LBN
HYACINTH WELLNESS, LLC
Authorized official TAWANA FENTON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/14/2020
Last updated 04/14/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • DC Medicaid: 1659861458

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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