| Wellness Care Services LLC | |
|
11041 Hensell Rd Holly MI 48442-8054 | |
| (810) 656-2208 | |
| (810) 545-4196 |
| Full Name | Wellness Care Services LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 11041 Hensell Rd, Holly, Michigan |
| Authorized Official Name and Position | Angela Marie Hanna (NP/OWNER) |
| Authorized Official Contact | 8106562208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Care Services LLC 11041 Hensell Rd Holly MI 48442-8054 Ph: (810) 656-2208 | Wellness Care Services LLC 11041 Hensell Rd Holly MI 48442-8054 Ph: (810) 656-2208 |
| NPI Number | 1508550583 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Medicare PECOS PAC ID | 7315396298 |
|---|---|
| Medicare Enrollment ID | O20231218003155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508550583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | () | Secondary |
| Provider Name | Angela M Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659850162 PECOS PAC ID: 0143574509 Enrollment ID: I20181121001821 |
| Provider Name | Lynn M Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104021765 PECOS PAC ID: 0941546907 Enrollment ID: I20190111001101 |
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