Organization Name: | BODYMETRIX HEALTH AND WELLNESS SERVICES LLC |
NPI Number: | 1285978304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES DELGADO (OWNER) |
Mailing Address: | 403 W Ridge Pike Limerick |
State: | PA US |
Postal Code: | 194683451 |
Phone Number: | 4849388892 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |