| Wellness Express, Llc | |
|
312 Guilbeau Rd Ste 5d Lafayette LA 70506-6954 | |
| (337) 988-1138 | |
| (337) 984-5037 |
| Full Name | Wellness Express, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 312 Guilbeau Rd Ste 5d, Lafayette, Louisiana |
| Authorized Official Name and Position | Shirlene Young Myers (DIRECTOR) |
| Authorized Official Contact | 3379881138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Express, Llc 312 Guilbeau Rd Ste 5d Lafayette LA 70506-6954 Ph: (337) 988-1138 | Wellness Express, Llc 312 Guilbeau Rd Ste 5d Lafayette LA 70506-6954 Ph: (337) 988-1138 |
| NPI Number | 1205163490 |
|---|---|
| Provider Enumeration Date | 11/09/2009 |
| Last Update Date | 11/10/2009 |
| Medicare PECOS PAC ID | 7719027903 |
|---|---|
| Medicare Enrollment ID | O20091219000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205163490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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