Back To Life Llc

LBN: Back To Life Llc
Back To Life Llc is an health care organization with primary practice located at 305 E 1St St , Malvern IA 51551-8008. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Back To Life Llc can be contacted via phone (402) 201-7852, or through Wiese, Amberly via phone (402) 201-7852.

Contact Information

Primary practice address
305 E 1St St Malvern IA 51551-8008
Phone: (402) 201-7852
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wiese, Amberly Occupational Therapist (OT)
Phone: (402) 201-7852

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1063063014
LBN Legal business name Back To Life Llc
DBA Doing business as
Authorized official Wiese, Amberly Occupational Therapist (OT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2019
Last updated Sep 21st, 2019 - about 5 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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