OrganizationActive
Indwell Health and Wellness.llc
NPI 1689119646 · Allergy & Immunology Physician · Forest, VA
Provider details
- NPI number
- 1689119646
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Luis Matos, Medical Director
- License
- 0101056392 (VA)
Practice location
1019a Vista Park Dr
Forest, VA 24551-4901
Phone: (434) 515-0419
Fax: (844) 693-9305
Mailing address
Po Box 13103
Roanoke, VA 24031-3103
Registry dates
- Enumerated
- 2016-12-30
- Last updated
- 2018-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.