Lotus Family Wellness Clinic, Llc

LBN: Lotus Family Wellness Clinic, Llc
Lotus Family Wellness Clinic, Llc is an health care organization with primary practice located at 1240 Highway 138 Sw , Riverdale GA 30296-1402. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Lotus Family Wellness Clinic, Llc can be contacted via phone (404) 668-1827, or through Johnson, Qiana Aidah via phone (404) 668-1827.

Contact Information

Primary practice address
1240 Highway 138 Sw Riverdale GA 30296-1402
Phone: (404) 668-1827
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Qiana Aidah DNP, FNP-C
Phone: (404) 668-1827

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1013497171
LBN Legal business name Lotus Family Wellness Clinic, Llc
DBA Doing business as
Authorized official Johnson, Qiana Aidah DNP, FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2018
Last updated Aug 17th, 2018 - about 6 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 1013497171 NPPES
Georgia MEDICAID 003151631F

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