Reconnect Wellness Pascagoula LLC
NPI #1033609581 in Pascagoula, Mississippi
Provider Information
- NPI Number
- 1033609581
- Entity Type
- Organization
- Organization Name
- Reconnect Wellness Pascagoula LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- May 10, 2018
- Last Updated
- Feb 3, 2021
Practice Location
- Address
- 4211 HOSPITAL ST STE 114
- City
- Pascagoula
- State
- Mississippi
- ZIP Code
- 39581-5320
- Phone
- (662) 680-3148
Authorized Official
- Name
- DOUGLAS M WRIGHT
- Title
- MANAGING MEMBER
- Phone
- (662) 680-3148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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