House Of Life Family Practice Pllc
LBN: House Of Life Family Practice Pllc
House Of Life Family Practice Pllc is an health care organization with primary practice located at 1800 S Hawthorne Rd , Winston Salem NC 27103-4014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
House Of Life Family Practice Pllc can be contacted via phone (336) 765-3430, or through Powell, Michele Denise via phone (336) 765-3430.
Contact Information
Primary practice address
1800 S Hawthorne Rd
Winston Salem NC 27103-4014
Phone: (336) 765-3430
Fax: (336) 765-3429
Website:
Authorized official contact:
Name: Powell, Michele Denise Doctor of Osteopathy (DO)
Phone: (336) 765-3430
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | North Carolina |
Profile Details
| NPI number | 1659349041 |
|---|---|
| LBN Legal business name | House Of Life Family Practice Pllc |
| DBA Doing business as | |
| Authorized official | Powell, Michele Denise Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Apr 20th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659349041 | NPPES |
| North Carolina | MEDICAID | 89131Y7 | |
| North Carolina | Other | 131Y7 | |
| North Carolina | Other | 1033392774 |
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