Black Willow Holistic Center Llc

LBN: Black Willow Holistic Center Llc
Black Willow Holistic Center Llc is an health care organization with primary practice located at 301 Oglesby St , Salem IL 62881-2724. The organization recently has only one registered license in Nursing Service Related Providers / Religious Nonmedical Practitioner, which is considered as the primary health care specialty. Black Willow Holistic Center Llc can be contacted via phone (618) 292-8518, or through Ullery, Candice via phone (618) 292-8518.

Contact Information

Primary practice address
301 Oglesby St Salem IL 62881-2724
Phone: (618) 292-8518
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ullery, Candice SBD
Phone: (618) 292-8518

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X

Profile Details

NPI number 1184490872
LBN Legal business name Black Willow Holistic Center Llc
DBA Doing business as
Authorized official Ullery, Candice SBD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2023
Last updated Dec 12th, 2023 - about 2 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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