Provider Demographics
NPI:1760773360
Name:ULTIMATE HEALTH & WELLNESS
Entity Type:Organization
Organization Name:ULTIMATE HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENTREPRENEUR
Authorized Official - Prefix:DR
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:ND, RN
Authorized Official - Phone:304-677-2074
Mailing Address - Street 1:1610 BOBBECK LN
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-7719
Mailing Address - Country:US
Mailing Address - Phone:304-677-2074
Mailing Address - Fax:304-816-3288
Practice Address - Street 1:1610 BOBBECK LN
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-7719
Practice Address - Country:US
Practice Address - Phone:304-677-2074
Practice Address - Fax:304-816-3288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty