Moonglade Integrative Llc

LBN: Moonglade Integrative Llc
Moonglade Integrative Llc is an health care organization with primary practice located at 3233B Chestnut Ridge Rd , Grantsville MD 21536-1370. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Moonglade Integrative Llc can be contacted via phone (240) 321-2770, or through Resh, Jennifer Lynn via phone (240) 321-2770.

Contact Information

Primary practice address
3233B Chestnut Ridge Rd Grantsville MD 21536-1370
Phone: (240) 321-2770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Resh, Jennifer Lynn CRNP
Phone: (240) 321-2770

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1568245595
LBN Legal business name Moonglade Integrative Llc
DBA Doing business as
Authorized official Resh, Jennifer Lynn CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2023
Last updated Feb 12th, 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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