Blue State Wellness And Recovery

LBN: Blue State Wellness And Recovery
Blue State Wellness And Recovery is an health care organization with primary practice located at 1930 Legacy Park , Winston Salem NC 27103-5838. The organization recently has 15 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Meals, Other Service Providers / Lodging, Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Other Service Providers / Case Manager/Care Coordinator is the primary health care specialty. Blue State Wellness And Recovery can be contacted via phone (336) 287-1395, or through Williams, Brandon via phone (336) 287-1395.

Contact Information

Primary practice address
1930 Legacy Park Winston Salem NC 27103-5838
Phone: (336) 287-1395
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Brandon
Phone: (336) 287-1395

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Meals 174200000X
Other Service Providers / Lodging 177F00000X
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / Public Health or Welfare 251K00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1487111787
LBN Legal business name Blue State Wellness And Recovery
DBA Doing business as
Authorized official Williams, Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2019
Last updated Feb 23rd, 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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