Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Addiction (Substance Use Disorder) |
163WA0400X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI # | 1972206498 |
||||
| LBN Legal business name | DEMAND CARE HEALTH & WELLNESS LLC | ||||
| Authorized official | DIANE BELL-CORNISH - (MEDICAL DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/23/2023 | ||||
| Last updated | 10/07/2025 - About 8 months ago | ||||
| Identifiers |
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