Brandon Wilde Llc

LBN: Brandon Wilde Llc
Brandon Wilde Llc is an health care organization with primary practice located at 4275 Owens Rd , Evans GA 30809-3066. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Brandon Wilde Llc can be contacted via phone (706) 868-3568, or through Victor, Jason C. via phone (515) 875-4619.

Contact Information

Primary practice address
4275 Owens Rd Evans GA 30809-3066
Phone: (706) 868-3568
Fax: (706) 868-3525
Website:
Map and Directions
Authorized official contact:
Name: Victor, Jason C.
Phone: (515) 875-4619

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1780450924
LBN Legal business name Brandon Wilde Llc
DBA Doing business as
Authorized official Victor, Jason C.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2023
Last updated Nov 29th, 2023 - about last year

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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