| Lifelong Wellness Of Ohio Llc | |
|
31054 State Route 93 Mc Arthur OH 45651-8925 | |
| (732) 691-0470 | |
| Not Available |
| Full Name | Lifelong Wellness Of Ohio Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 31054 State Route 93, Mc Arthur, Ohio |
| Authorized Official Name and Position | Israel Stein (MANAGER) |
| Authorized Official Contact | 7326910470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Wellness Of Ohio Llc 1074 Times Square Blvd Lakewood NJ 08701-5524 Ph: (732) 691-0470 | Lifelong Wellness Of Ohio Llc 31054 State Route 93 Mc Arthur OH 45651-8925 Ph: (732) 691-0470 |
| NPI Number | 1275372302 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Medicare PECOS PAC ID | 4688118698 |
|---|---|
| Medicare Enrollment ID | O20240702000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275372302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Dawn Hedges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558598524 PECOS PAC ID: 8628408408 Enrollment ID: I20200417002676 |
| Provider Name | Gerrilyn Ashley Yancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639769755 PECOS PAC ID: 5294135653 Enrollment ID: I20210607003173 |
Hopewell Health Centers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31891 State Route 93, Mc Arthur, OH 45651 Phone: 740-596-5249 Fax: 740-596-4821 | |
Hopewell Health Centers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31891 State Route 93, Mc Arthur, OH 45651 Phone: 740-596-5249 Fax: 740-596-4821 |