Divine Health Medical And Spa Llc
LBN: Divine Health Medical And Spa Llc
Divine Health Medical And Spa Llc is an health care organization with primary practice located at 11119 Rockville Pike Ste 320 , Rockville MD 20852-3143. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Divine Health Medical And Spa Llc can be contacted via phone (240) 669-6598, or through Young, Sally Owie via phone (240) 437-9997.
Contact Information
Primary practice address
11119 Rockville Pike Ste 320
Rockville MD 20852-3143
Phone: (240) 669-6598
Fax: (240) 669-6079
Website:
Authorized official contact:
Name: Young, Sally Owie Family Nurse Practitioner (FNP)
Phone: (240) 437-9997
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1790428555 |
|---|---|
| LBN Legal business name | Divine Health Medical And Spa Llc |
| DBA Doing business as | |
| Authorized official | Young, Sally Owie Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2022 |
| Last updated | Jul 14th, 2022 - 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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