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:
Map and Directions
Authorized official contact:
Name: Gagne, Kelli P Advanced Practice Registered Nurse (APRN)
Phone: (860) 346-0252

Health care specialties

SpecialtyCodeLicense #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 5 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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