Gentle Sticks On Wheels

LBN: Gentle Sticks On Wheels
Gentle Sticks On Wheels is an health care organization with primary practice located at 1829 Forest Glen Dr , Fruitland Park FL 34731-6565. The organization recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Pathology, Nursing Service Related Providers / Technician. Nursing Service Related Providers / Technician is the primary health care specialty. Gentle Sticks On Wheels can be contacted via phone (352) 431-1193, or through Pettis, Alysha via phone (352) 431-1193.

Contact Information

Primary practice address
1829 Forest Glen Dr Fruitland Park FL 34731-6565
Phone: (352) 431-1193
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pettis, Alysha
Phone: (352) 431-1193

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Pathology 246R00000X
Nursing Service Related Providers / Technician 374700000X

Profile Details

NPI number 1184397713
LBN Legal business name Gentle Sticks On Wheels
DBA Doing business as
Authorized official Pettis, Alysha
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2021
Last updated Sep 13th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184397713 NPPES
Florida MEDICAID 1942884846

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