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Contact Information

RECONNECT WELLNESS PASCAGOULA LLC
4211 HOSPITAL ST STE 114
PASCAGOULA, MS39581-5320
 Phone: 662-680-3148
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for RECONNECT WELLNESS PASCAGOULA LLC

NPI Number 1033609581
LBN Legal business name RECONNECT WELLNESS PASCAGOULA LLC
Authorized official DOUGLAS WRIGHT - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2018
Last updated 02/03/2021 - About 5 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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