Impact Wellness Center LLC
NPI #1093579054 in Lakeside, Arizona
Provider Information
- NPI Number
- 1093579054
- Entity Type
- Organization
- Organization Name
- Impact Wellness Center LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
- Enumeration Date
- Feb 9, 2024
- Last Updated
- May 1, 2024
Practice Location
Authorized Official
- Name
- CHARLES WADE
- Title
- OWNER
- Phone
- (615) 720-8088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
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