| Torii Health And Wellness Llc | |
|
44 E Stephen Dr Newark DE 19713-1862 | |
| (302) 559-2693 | |
| Not Available |
| Full Name | Torii Health And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 44 E Stephen Dr, Newark, Delaware |
| Authorized Official Name and Position | Ronald James Tyree (OWNER) |
| Authorized Official Contact | 3025592693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Torii Health And Wellness Llc 44 E Stephen Dr Newark DE 19713-1862 Ph: (302) 559-2693 | Torii Health And Wellness Llc 44 E Stephen Dr Newark DE 19713-1862 Ph: (302) 559-2693 |
| NPI Number | 1922816768 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Medicare PECOS PAC ID | 9931639952 |
|---|---|
| Medicare Enrollment ID | O20250206000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922816768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ronald James Tyree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083389324 PECOS PAC ID: 3577968890 Enrollment ID: I20210825002264 |
| Provider Name | David Raymond Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841017290 PECOS PAC ID: 6002349107 Enrollment ID: I20241028003936 |
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