| Guest House Holistic Wellness Center Llc | |
|
9151 Bella Vita Cir Land O Lakes FL 34637-3504 | |
| (516) 491-0143 | |
| Not Available |
| Full Name | Guest House Holistic Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9151 Bella Vita Cir, Land O Lakes, Florida |
| Authorized Official Name and Position | Anthony Franco (OWNER) |
| Authorized Official Contact | 5164910143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guest House Holistic Wellness Center Llc 9151 Bella Vita Cir Land O Lakes FL 34637-3504 Ph: (516) 491-0143 | Guest House Holistic Wellness Center Llc 9151 Bella Vita Cir Land O Lakes FL 34637-3504 Ph: (516) 491-0143 |
| NPI Number | 1134822034 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134822034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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