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:
Map and Directions
Authorized official contact:
Name: Young, Sally Owie Family Nurse Practitioner (FNP)
Phone: (240) 437-9997

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers