Provider Demographics
NPI:1598349789
Name:CONFIDENT BODIES & WHOLENESS
Entity Type:Organization
Organization Name:CONFIDENT BODIES & WHOLENESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AFRIKUS
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-419-4754
Mailing Address - Street 1:2127 LORRAINE AVE
Mailing Address - Street 2:
Mailing Address - City:GWYNN OAK
Mailing Address - State:MD
Mailing Address - Zip Code:21207-5909
Mailing Address - Country:US
Mailing Address - Phone:410-419-4754
Mailing Address - Fax:
Practice Address - Street 1:5248 REISTERSTOWN RD APT 2
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5083
Practice Address - Country:US
Practice Address - Phone:672-052-0856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No174200000XOther Service ProvidersMeals
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy