Liquid Lounge Hydration Dba Ideal Vitality Wellness
Liquid Lounge Hydration Dba Ideal Vitality Wellness is a Laboratory Management Specialist/Technologist in Charlotte, North Carolina. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 2
Practice location Address checks out
5126 Park Rd Ste 2CCharlotte, NC 28209-3748
Phone: (704) 247-7281
Fax: (704) 800-5655
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Specialties & licences
| Laboratory Management Specialist/Technologist (primary) | Taxonomy 246QL0900X |
|---|---|
| Nursing Care Agency | Taxonomy 251J00000X |
Record details
| NPI number | 1720930183 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Guillaume — Operator · (704) 247-7281 |
| Other names | Ideal Vitality Wellness |
| NPI enumerated | February 10, 2026 |
| Last updated in NPPES | February 10, 2026 |
| Certification date | February 10, 2026 |
| Mailing address | 5126 Park Rd Ste 2c, Charlotte, NC 28209-3748 |
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