Provider Demographics
NPI:1194067876
Name:NATURAL WELLNESS, LLC
Entity type:Organization
Organization Name:NATURAL WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SNITKOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-570-6369
Mailing Address - Street 1:440 S FEDERAL HWY
Mailing Address - Street 2:SUITE # 107
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-4114
Mailing Address - Country:US
Mailing Address - Phone:954-570-6369
Mailing Address - Fax:
Practice Address - Street 1:440 S FEDERAL HWY
Practice Address - Street 2:SUITE # 107
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4114
Practice Address - Country:US
Practice Address - Phone:954-570-6369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL233052253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care