Provider Demographics
NPI:1265114805
Name:LIVING AT YOUR FINEST WELLNESS LLC
Entity type:Organization
Organization Name:LIVING AT YOUR FINEST WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOLAPO
Authorized Official - Middle Name:
Authorized Official - Last Name:BABALOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-421-8786
Mailing Address - Street 1:1230 JOHNSON FERRY PL STE A20
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2053
Mailing Address - Country:US
Mailing Address - Phone:678-403-2199
Mailing Address - Fax:678-403-2275
Practice Address - Street 1:1230 JOHNSON FERRY PL STE A20
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2053
Practice Address - Country:US
Practice Address - Phone:678-403-2199
Practice Address - Fax:678-403-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care