21St Century Total Wellness, Llc

LBN: 21St Century Total Wellness, Llc
21St Century Total Wellness, Llc is an health care organization with primary practice located at 5522 E 989 N , Demotte IN 46310-8016. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. 21St Century Total Wellness, Llc can be contacted via phone (219) 345-3892, or through Prater, Edgar Daniel via phone (219) 756-4695.

Contact Information

Primary practice address
5522 E 989 N Demotte IN 46310-8016
Phone: (219) 345-3892
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prater, Edgar Daniel Certified Occupational Therapy Assistant (COTA)
Phone: (219) 756-4695

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1043412711
LBN Legal business name 21St Century Total Wellness, Llc
DBA Doing business as
Authorized official Prater, Edgar Daniel Certified Occupational Therapy Assistant (COTA)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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