Provider Demographics
NPI:1275254591
Name:THE WELLNESS HOUSE, LLC
Entity Type:Organization
Organization Name:THE WELLNESS HOUSE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSANELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCED
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-961-7616
Mailing Address - Street 1:1685 LEE RD STE 100B
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2214
Mailing Address - Country:US
Mailing Address - Phone:407-961-7616
Mailing Address - Fax:
Practice Address - Street 1:1685 LEE RD STE 100B
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2214
Practice Address - Country:US
Practice Address - Phone:407-961-7616
Practice Address - Fax:407-961-7718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty