Provider Demographics
NPI:1790677722
Name:WELLDONE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:WELLDONE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILLIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:AKHAROH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-987-7529
Mailing Address - Street 1:1405 WOODPECKER LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6511
Mailing Address - Country:US
Mailing Address - Phone:817-987-7529
Mailing Address - Fax:
Practice Address - Street 1:1405 WOODPECKER LN
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-6511
Practice Address - Country:US
Practice Address - Phone:817-987-7529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care