Life Management Center Of Northwest Florida Inc

LBN: Life Management Of Nw Fl, Inc.
Life Management Center Of Northwest Florida Inc is an health care organization with primary practice located at 311 Williams Ave , Port St Joe FL 32456-1845. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Life Management Of Nw Fl, Inc. can be contacted via phone (850) 522-4480, or through Ailes, Edwin via phone (850) 522-4485.

Contact Information

Primary practice address
311 Williams Ave Port St Joe FL 32456-1845
Phone: (850) 522-4480
Fax: (850) 914-6281
Website:
Map and Directions
Authorized official contact:
Name: Ailes, Edwin
Phone: (850) 522-4485

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1316977515
LBN Legal business name Life Management Of Nw Fl, Inc.
DBA Doing business as Life Management Center Of Northwest Florida Inc
Authorized official Ailes, Edwin
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 4th, 2006
Last updated Mar 29th, 2024 - about last year

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 1316977515 NPPES
Florida MEDICAID 060296530

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