Provider Demographics
NPI:1861555633
Name:ARYZEN HEALTH & WELLNESS INC.
Entity type:Organization
Organization Name:ARYZEN HEALTH & WELLNESS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:THACKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-399-9689
Mailing Address - Street 1:2327 ENGLERT DR
Mailing Address - Street 2:STE 101 14
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-4446
Mailing Address - Country:US
Mailing Address - Phone:919-572-2978
Mailing Address - Fax:
Practice Address - Street 1:2327 ENGLERT DR
Practice Address - Street 2:STE 101 14
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-4446
Practice Address - Country:US
Practice Address - Phone:919-572-2978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health