| Akasha Wellness | |
|
350 Zach Ln Ozark IL 62972-1119 | |
| (618) 889-9570 | |
| Not Available |
| Full Name | Akasha Wellness |
|---|---|
| Speciality | Clinic/center |
| Location | 350 Zach Ln, Ozark, Illinois |
| Authorized Official Name and Position | Nicole Lence (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6188899570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Akasha Wellness 350 Zach Ln Ozark IL 62972-1119 Ph: () - | Akasha Wellness 350 Zach Ln Ozark IL 62972-1119 Ph: (618) 889-9570 |
| NPI Number | 1881076859 |
|---|---|
| Provider Enumeration Date | 06/25/2015 |
| Last Update Date | 06/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881076859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 164.006153 (Illinois) | Primary |