Most Relevant Information
Provider Data
| NPI Number: | 1003311010 |
| Provider Name: | ALLISON NICOLE WELLS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2018 |
| Last Updated: | 03/30/2018 |
Provider Practice Location
178 PRIVATE ROAD 19423
SOUTH POINT
OH
456808831
Practice Location Phone/Fax
| Phone: | 7402632626 |
| Fax: |
Provider Mailing Location
178 PRIVATE ROAD 19423
SOUTH POINT
OH
456808831
Provider Mailing Phone/Fax
| Phone: | 7402632626 |
| Fax: |