Provider Demographics
NPI:1588456644
Name:WELLNESS ON WHEELS
Entity type:Organization
Organization Name:WELLNESS ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KENYALL
Authorized Official - Middle Name:SHARDAE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-806-9503
Mailing Address - Street 1:2922 NICCOLINE WAY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-3253
Mailing Address - Country:US
Mailing Address - Phone:225-806-9503
Mailing Address - Fax:
Practice Address - Street 1:2922 NICCOLINE WAY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-3253
Practice Address - Country:US
Practice Address - Phone:225-806-9503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)