Sacred Life Llc

LBN: Sacred Life Llc
Sacred Life Llc is an health care organization with primary practice located at 11412 Ne 50Th Ave , Vancouver WA 98686-4418. The organization recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as the primary health care specialty. Sacred Life Llc can be contacted via phone (360) 699-6411, or through Sobovoy, Ivan via phone (360) 721-4303.

Contact Information

Primary practice address
11412 Ne 50Th Ave Vancouver WA 98686-4418
Phone: (360) 699-6411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sobovoy, Ivan Registered Nurse (RN)
Phone: (360) 721-4303

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X

Profile Details

NPI number 1962093641
LBN Legal business name Sacred Life Llc
DBA Doing business as
Authorized official Sobovoy, Ivan Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2021
Last updated Jan 27th, 2021 - about 3 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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