| Integrity Wellness Of Cleveland, Llc | |
|
102 Dunhill Place Cleveland TN 37311 | |
| (423) 715-6142 | |
| (423) 244-0617 |
| Full Name | Integrity Wellness Of Cleveland, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Dunhill Place, Cleveland, Tennessee |
| Authorized Official Name and Position | Minna Deluca (OWNER) |
| Authorized Official Contact | 4237156142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Wellness Of Cleveland, Llc 102 Dunhill Place Cleveland TN 37311 Ph: (423) 715-6142 | Integrity Wellness Of Cleveland, Llc 102 Dunhill Place Cleveland TN 37311 Ph: (423) 715-6142 |
| NPI Number | 1659110138 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/31/2024 |
| Medicare PECOS PAC ID | 1153867239 |
|---|---|
| Medicare Enrollment ID | O20240725000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659110138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Minna Deluca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114397304 PECOS PAC ID: 4981913233 Enrollment ID: I20151027002811 |
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