Provider Demographics
NPI:1245057637
Name:HEALTH CARE FOR WELLNESS LLC
Entity type:Organization
Organization Name:HEALTH CARE FOR WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/HEALTH CARE CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:CICCONE
Authorized Official - Last Name:TROUTNER
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD, LDN, CDCES
Authorized Official - Phone:301-466-0611
Mailing Address - Street 1:19101 ARTESIAN CT
Mailing Address - Street 2:
Mailing Address - City:DERWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20855
Mailing Address - Country:US
Mailing Address - Phone:301-466-0611
Mailing Address - Fax:888-570-4119
Practice Address - Street 1:19101 ARTESIAN CT
Practice Address - Street 2:
Practice Address - City:DERWOOD
Practice Address - State:MD
Practice Address - Zip Code:20855
Practice Address - Country:US
Practice Address - Phone:301-466-0611
Practice Address - Fax:888-570-4119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty