Life Health & Wellness Center, Llc

LBN: Life Health & Wellness Center, Llc
Life Health & Wellness Center, Llc is an health care organization with primary practice located at 1707 North Blairs Bridge Rd , Austell GA 30168. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Life Health & Wellness Center, Llc can be contacted via phone (470) 513-3908, or through Mccall-Gaston, Natalie via phone (678) 641-4391.

Contact Information

Primary practice address
1707 North Blairs Bridge Rd Austell GA 30168
Phone: (470) 513-3908
Fax: (770) 502-6492
Website:
Map and Directions
Authorized official contact:
Name: Mccall-Gaston, Natalie APRN-BC
Phone: (678) 641-4391

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1255901104
LBN Legal business name Life Health & Wellness Center, Llc
DBA Doing business as
Authorized official Mccall-Gaston, Natalie APRN-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2021
Last updated Oct 28th, 2021 - about 3 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 1255901104 NPPES
Georgia MEDICAID 003137957D

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