Organization Name: | CONTINUUM WELLNESS CLINIC, LLC |
NPI Number: | 1982968087 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE DAVIDSON (MANAGING MEMBER) |
Mailing Address: | 3230 S Gilbert Rd Suite 1 Chandler |
State: | AZ US |
Postal Code: | 852865110 |
Phone Number: | 4806295095 |
Fax Number: | 4806295895 |
NPI Enumeration Date: | 07/03/2012 |
NPI Last Update Date: | 01/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 5014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |