Provider Demographics
NPI:1588037717
Name:COMMONHEALTH WELLNESS SOLUTIONS, LLC
Entity Type:Organization
Organization Name:COMMONHEALTH WELLNESS SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:KNIGHT
Authorized Official - Last Name:ELWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:804-283-5314
Mailing Address - Street 1:11207 NUCKOLS RD STE B
Mailing Address - Street 2:SUITE 700
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5511
Mailing Address - Country:US
Mailing Address - Phone:804-283-5314
Mailing Address - Fax:
Practice Address - Street 1:11207 NUCKOLS RD STE B
Practice Address - Street 2:SUITE 700
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5511
Practice Address - Country:US
Practice Address - Phone:804-283-5314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Single Specialty