Potential Way

LBN: Potential Way
Potential Way is an health care organization with primary practice located at 12901 E Highway 20 , Clearlake Oaks CA 95423-9326. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Meals, Other Service Providers / Lodging, Agencies / Case Management, Agencies / Home Health. Other Service Providers / Lodging is the primary health care specialty. Potential Way can be contacted via phone (916) 613-0098, or through Kelly, Jacqueline Marie via phone (916) 613-0098.

Contact Information

Primary practice address
12901 E Highway 20 Clearlake Oaks CA 95423-9326
Phone: (916) 613-0098
Fax: (707) 703-5792
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Jacqueline Marie Registered Nurse (RN)
Phone: (916) 613-0098

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X
Other Service Providers / Lodging 177F00000X
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1588434849
LBN Legal business name Potential Way
DBA Doing business as
Authorized official Kelly, Jacqueline Marie Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2024
Last updated Jan 8th, 2024 - about 10 months 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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