Miralife Health Services

LBN: Fountain Therapeutic And Supportive Services Llc
Miralife Health Services is an health care organization with primary practice located at 108 Cardiff Ct # Cy , Jacksonville NC 28546-7864. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Fountain Therapeutic And Supportive Services Llc can be contacted via phone (301) 437-9666, or through Jinor, Janny via phone (301) 437-9666.

Contact Information

Primary practice address
108 Cardiff Ct # Cy Jacksonville NC 28546-7864
Phone: (301) 437-9666
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jinor, Janny LICSW
Phone: (301) 437-9666

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC50078852 District of Columbia

Profile Details

NPI number 1285959312
LBN Legal business name Fountain Therapeutic And Supportive Services Llc
DBA Doing business as Miralife Health Services
Authorized official Jinor, Janny LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2010
Last updated Feb 11th, 2015 - about 9 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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