Jackies Retirement Alf

LBN: Jackies Retirement Llc
Jackies Retirement Alf is an health care organization with primary practice located at 1675 Canon Ave Nw , Palm Bay FL 32907-8528. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Jackies Retirement Llc can be contacted via phone (321) 420-3916, or through Wright, Jacqueline B via phone (321) 420-3916.

Contact Information

Primary practice address
1675 Canon Ave Nw Palm Bay FL 32907-8528
Phone: (321) 420-3916
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wright, Jacqueline B
Phone: (321) 420-3916

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X AL12053 Florida

Profile Details

NPI number 1073882783
LBN Legal business name Jackies Retirement Llc
DBA Doing business as Jackies Retirement Alf
Authorized official Wright, Jacqueline B
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2011
Last updated Dec 26th, 2011 - about 13 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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