Fort Mill Senior Wellness Llc
LBN: Fort Mill Senior Wellness Llc
Fort Mill Senior Wellness Llc is an health care organization with primary practice located at 331 E Main St Ste 200 , Rock Hill SC 29730-5384. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty.
Fort Mill Senior Wellness Llc can be contacted via phone (704) 438-0687, or through Gagne, Kelli P via phone (860) 346-0252.
Contact Information
Primary practice address
331 E Main St Ste 200
Rock Hill SC 29730-5384
Phone: (704) 438-0687
Fax: (844) 591-0104
Website:
Authorized official contact:
Name: Gagne, Kelli P Advanced Practice Registered Nurse (APRN)
Phone: (860) 346-0252
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ||
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1336992601 |
|---|---|
| LBN Legal business name | Fort Mill Senior Wellness Llc |
| DBA Doing business as | |
| Authorized official | Gagne, Kelli P Advanced Practice Registered Nurse (APRN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 8th, 2024 |
| Last updated | Apr 8th, 2024 - about 7 months 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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