OrganizationActive
Innovative Wellness Group LLC
NPI 1770057929 · Health Service Clinic/Center · Lebanon, PA
Provider details
- NPI number
- 1770057929
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Philip Yoder, Owner(717) 272-2816
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1640 Cornwall Rd
Lebanon, PA 17042-7405
Phone: (717) 272-2816
Approximate (ZIP-level) locationGet directions
Mailing address
1640 Cornwall Rd
Lebanon, PA 17042-7405
Registry dates
- Enumerated
- 2019-01-21
- Last updated
- 2019-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.