Provider Demographics
NPI:1437669066
Name:ULTIMATE HEALTH & WELLNESS, LLC
Entity Type:Organization
Organization Name:ULTIMATE HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:PARAOAN
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:NMD
Authorized Official - Phone:304-612-9355
Mailing Address - Street 1:1610 BOBBECK LANE
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554
Mailing Address - Country:US
Mailing Address - Phone:681-443-3141
Mailing Address - Fax:681-443-3142
Practice Address - Street 1:2862 WHITEHALL BLVD
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:WV
Practice Address - Zip Code:26554
Practice Address - Country:US
Practice Address - Phone:681-443-3141
Practice Address - Fax:681-443-3142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-10
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty