Provider Demographics
NPI:1588161053
Name:EPICWELLNESS HOME CARE AND CONSULTING
Entity type:Organization
Organization Name:EPICWELLNESS HOME CARE AND CONSULTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONALISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUPITON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-227-5338
Mailing Address - Street 1:49 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5633
Mailing Address - Country:US
Mailing Address - Phone:978-227-5338
Mailing Address - Fax:978-401-2148
Practice Address - Street 1:49 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5633
Practice Address - Country:US
Practice Address - Phone:978-227-5338
Practice Address - Fax:978-401-2148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health