Southbrdge Health And Wellness Llc

LBN: Southbrdge Health And Wellness Llc
Southbrdge Health And Wellness Llc is an health care organization with primary practice located at 476 Riverside Ave # 1905 , Jacksonville FL 32202-4912. The organization recently has 6 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is the primary health care specialty. Southbrdge Health And Wellness Llc can be contacted via phone (904) 800-9220, or through Agyemang, Dora Agyei via phone (912) 800-9220.

Contact Information

Primary practice address
476 Riverside Ave # 1905 Jacksonville FL 32202-4912
Phone: (904) 800-9220
Fax: (904) 674-1843
Website:
Map and Directions
Authorized official contact:
Name: Agyemang, Dora Agyei MSN, APRN, ANP-BC
Phone: (912) 800-9220

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Home Health 251E00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1043089998
LBN Legal business name Southbrdge Health And Wellness Llc
DBA Doing business as
Authorized official Agyemang, Dora Agyei MSN, APRN, ANP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2023
Last updated Dec 20th, 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.

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