Provider Demographics
NPI:1427664366
Name:NOBLE WELLNESS, LLC
Entity type:Organization
Organization Name:NOBLE WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TELMOSSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:546-843-9959
Mailing Address - Street 1:402 NE 10TH TER
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-2940
Mailing Address - Country:US
Mailing Address - Phone:954-684-3995
Mailing Address - Fax:561-413-5627
Practice Address - Street 1:402 NE 10TH TER
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-2940
Practice Address - Country:US
Practice Address - Phone:954-684-3995
Practice Address - Fax:561-413-5627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityGroup - Single Specialty