Provider Demographics
NPI:1376805895
Name:WELLNESS RESOURCE SOLUTIONS
Entity Type:Organization
Organization Name:WELLNESS RESOURCE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-641-5366
Mailing Address - Street 1:3471 N FEDERAL HWY
Mailing Address - Street 2:SUITE 402
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1019
Mailing Address - Country:US
Mailing Address - Phone:954-641-5366
Mailing Address - Fax:
Practice Address - Street 1:1777 KLOCKNER RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-2725
Practice Address - Country:US
Practice Address - Phone:954-641-5366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-11
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty