Provider Demographics
NPI:1780300236
Name:2WELL SOLUTIONS LLC
Entity type:Organization
Organization Name:2WELL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:O
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-307-5729
Mailing Address - Street 1:2216 HIGHWAY 80 E LOT 162
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-9475
Mailing Address - Country:US
Mailing Address - Phone:318-307-5729
Mailing Address - Fax:
Practice Address - Street 1:2216 HIGHWAY 80 E LOT 162
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-9475
Practice Address - Country:US
Practice Address - Phone:318-307-5729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)