Provider Demographics
NPI:1780919290
Name:WELLTRENDS INC.
Entity type:Organization
Organization Name:WELLTRENDS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-488-6600
Mailing Address - Street 1:1340 S MAIN ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7514
Mailing Address - Country:US
Mailing Address - Phone:817-488-6600
Mailing Address - Fax:817-488-6603
Practice Address - Street 1:1340 S MAIN ST
Practice Address - Street 2:SUITE 130
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7514
Practice Address - Country:US
Practice Address - Phone:817-488-6600
Practice Address - Fax:817-488-6603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health