NPI 1235407198

Exclusive Wellness Care

Organisation Exclusive Provider Organization Florissant, MO

Practice location

Address: 680 Meadowgrass Dr, Florissant, MO 63033-3813
Phone: (314) 629-6497

Authorised official

Name: Regina Nobles
Title: Owner
Phone: (314) 629-6497

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence J035159009 (MO)

Other Exclusive Provider Organization providers in Missouri →

Registry record

NPI: 1235407198
Entity type: Organization
NPI issued: 7 Dec 2011
Record last updated: 7 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.