Provider Demographics
NPI:1609578624
Name:FAMILY WELLNESS AND HEALTH, LLC
Entity Type:Organization
Organization Name:FAMILY WELLNESS AND HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-990-7068
Mailing Address - Street 1:5072 ANNUNCIATION CIR STE 230
Mailing Address - Street 2:
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-9639
Mailing Address - Country:US
Mailing Address - Phone:239-990-7068
Mailing Address - Fax:239-990-7068
Practice Address - Street 1:5072 ANNUNCIATION CIR STE 230
Practice Address - Street 2:
Practice Address - City:AVE MARIA
Practice Address - State:FL
Practice Address - Zip Code:34142-9639
Practice Address - Country:US
Practice Address - Phone:239-990-7068
Practice Address - Fax:239-990-7068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty