Impact Wellness Center LLC
Impact Wellness Center LLC is a Comprehensive Outpatient Rehabilitation Facility (CORF) in Lakeside, Arizona. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3179 W White Mountain BlvdLakeside, AZ 85929-6146
Phone: (615) 720-8088
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) | Taxonomy 261QR0401X |
|---|
Record details
| NPI number | 1093579054 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Wade — Owner · (615) 720-8088 |
| NPI enumerated | February 9, 2024 |
| Last updated in NPPES | May 1, 2024 |
| Certification date | May 1, 2024 |
| Mailing address | 3179 W White Mountain Blvd, Lakeside, AZ 85929-6146 |