Provider Demographics
NPI:1548048051
Name:WELLZONE AT HOME LLC.
Entity type:Organization
Organization Name:WELLZONE AT HOME LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BEY-WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-626-2313
Mailing Address - Street 1:7401 OLD YORK RD STE B-4
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-3005
Mailing Address - Country:US
Mailing Address - Phone:267-626-2313
Mailing Address - Fax:267-626-2349
Practice Address - Street 1:7401 OLD YORK RD STE B-4
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-3005
Practice Address - Country:US
Practice Address - Phone:267-626-2313
Practice Address - Fax:267-626-2349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health