Preventive & Fitness Healthcare Agency, Llc

LBN: Preventive & Fitness Healthcare Agency, Llc
Preventive & Fitness Healthcare Agency, Llc is an health care organization with primary practice located at 1800 N Ridge Dr Ste 1 , Milledgeville GA 31061-2258. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Preventive & Fitness Healthcare Agency, Llc can be contacted via phone (478) 295-2955, or through Worthen, Wylene via phone (478) 456-9438.

Contact Information

Primary practice address
1800 N Ridge Dr Ste 1 Milledgeville GA 31061-2258
Phone: (478) 295-2955
Fax: (475) 295-3210
Website:
Map and Directions
Authorized official contact:
Name: Worthen, Wylene REGISTERED NURSE
Phone: (478) 456-9438

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1578276887
LBN Legal business name Preventive & Fitness Healthcare Agency, Llc
DBA Doing business as
Authorized official Worthen, Wylene REGISTERED NURSE
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2023
Last updated Jan 2nd, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578276887 NPPES
Georgia MEDICAID 003232271A

Popular Providers