Dr. Willa'S House

LBN: Physician Nutraceutical Research, Inc
Dr. Willa'S House is an health care organization with primary practice located at 140 Avenida Algodon #A, B & C, San Clemente CA 92672-4182. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Physician Nutraceutical Research, Inc can be contacted via phone (888) 508-3371, or through Lilly, Willa Ann via phone (888) 508-3371.

Contact Information

Primary practice address
140 Avenida Algodon #A, B & C San Clemente CA 92672-4182
Phone: (888) 508-3371
Fax: (949) 481-7063
Website:
Map and Directions
Authorized official contact:
Name: Lilly, Willa Ann Doctor of Osteopathy (DO)
Phone: (888) 508-3371

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 300189AP California
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 300189BP California
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 300189CP California

Profile Details

NPI number 1154627925
LBN Legal business name Physician Nutraceutical Research, Inc
DBA Doing business as Dr. Willa'S House
Authorized official Lilly, Willa Ann Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2011
Last updated Jan 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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