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Contact Information

AGE OF WELLNESS, LLC
2400 SUPERIOR AVE E
SUITE 213
CLEVELAND, OH44114-4236
 Phone: 404-916-9693
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for AGE OF WELLNESS, LLC

NPI Number 1396118303
LBN Legal business name AGE OF WELLNESS, LLC
Authorized official ARTOUR WRIGHT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/12/2015
Last updated 11/12/2015 - About 11 years ago
Identifiers
OH License # 4080
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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