Provider Demographics
NPI:1689845547
Name:FLOYD WELLNESS CARE, CORP
Entity Type:Organization
Organization Name:FLOYD WELLNESS CARE, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOASIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-899-2434
Mailing Address - Street 1:7001 PEACHTREE INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3673
Mailing Address - Country:US
Mailing Address - Phone:770-899-2434
Mailing Address - Fax:
Practice Address - Street 1:7001 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-3673
Practice Address - Country:US
Practice Address - Phone:770-899-2434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty