Provider Demographics
NPI:1285432492
Name:MEND WELL MOBILE CARE LLC
Entity type:Organization
Organization Name:MEND WELL MOBILE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-585-5546
Mailing Address - Street 1:1012 MILL POND RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:TN
Mailing Address - Zip Code:38474-1034
Mailing Address - Country:US
Mailing Address - Phone:615-585-5546
Mailing Address - Fax:320-323-1549
Practice Address - Street 1:1012 MILL POND RD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:TN
Practice Address - Zip Code:38474-1034
Practice Address - Country:US
Practice Address - Phone:615-585-5546
Practice Address - Fax:320-323-1549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty