Aunt Martha'S Health And Wellness, Inc.

LBN: Aunt Martha'S Health And Wellness, Inc.
Aunt Martha'S Health And Wellness, Inc. is an health care organization with primary practice located at 420 Ne Glen Oak Ave Fl 1 , Peoria IL 61603-3106. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Aunt Martha'S Health And Wellness, Inc. can be contacted via phone (877) 692-8686, or through Pennington, Audrey via phone (773) 802-7645.

Contact Information

Primary practice address
420 Ne Glen Oak Ave Fl 1 Peoria IL 61603-3106
Phone: (877) 692-8686
Fax: (708) 747-8024
Website:
Map and Directions
Authorized official contact:
Name: Pennington, Audrey
Phone: (773) 802-7645

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1700539517
LBN Legal business name Aunt Martha'S Health And Wellness, Inc.
DBA Doing business as
Authorized official Pennington, Audrey
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2022
Last updated Feb 1st, 2022 - about 3 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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