Provider Demographics
NPI:1093489072
Name:SAINT ENTERPRISES LLC
Entity Type:Organization
Organization Name:SAINT ENTERPRISES LLC
Other - Org Name:COMPREHENSIVE WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:SAINT
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEOGBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-954-8800
Mailing Address - Street 1:860 JOHNSON FERRY RD BLDG 140
Mailing Address - Street 2:STE 133
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1435
Mailing Address - Country:US
Mailing Address - Phone:501-954-8800
Mailing Address - Fax:501-954-8806
Practice Address - Street 1:8801 W MARKHAM ST STE 2
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2343
Practice Address - Country:US
Practice Address - Phone:501-954-8800
Practice Address - Fax:844-205-9825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty