Provider Demographics
NPI:1811753023
Name:WELLNESS PLUG LLC
Entity type:Organization
Organization Name:WELLNESS PLUG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGILE PROJECT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NDUBUEZE
Authorized Official - Middle Name:THANKGOD
Authorized Official - Last Name:ANYADO
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:720-671-2274
Mailing Address - Street 1:1300 S WILLOW ST APT 1202
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2120
Mailing Address - Country:US
Mailing Address - Phone:720-671-2274
Mailing Address - Fax:
Practice Address - Street 1:1562 S PARKER RD STE 320C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2721
Practice Address - Country:US
Practice Address - Phone:720-671-2274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based