Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IMPACT WELLNESS CENTER LLC
Active OrganizationIMPACT WELLNESS CENTER LLC is a Comprehensive Outpatient Rehabilitation Facility organization located in LAKESIDE, Arizona. NPI 1093579054 is currently active in the NPPES registry. Verify at CMS.
Comprehensive Outpatient Rehabilitation Facility · LAKESIDE, AZ
Registration Details
- NPI Number
- 1093579054
- Provider Type
- Organization
- NPI Issued
- Feb 9, 2024 (2.5446252545871 yrs)
- Last Updated
- May 1, 2024
Practice Information
- Address
-
3179 W WHITE MOUNTAIN BLVDLAKESIDE, AZ, 859296146Browse AZ providers · Browse ZIP 85929
- Phone
- 6157208088
- Primary Specialty
-
Comprehensive Outpatient Rehabilitation Facility
261QR0401X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.