Southern Therapy And Wellness Center

LBN: Southern Therapies Of North Florida Inc
Southern Therapy And Wellness Center is an health care organization with primary practice located at 6050 Saint Johns Ave Suite 1, Palatka FL 32177-3895. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Nursing Service Related Providers / Homemaker. Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) is the primary health care specialty. Southern Therapies Of North Florida Inc can be contacted via phone (386) 312-0022, or through Bennett, Amanda via phone (386) 312-0022.

Contact Information

Primary practice address
6050 Saint Johns Ave Suite 1 Palatka FL 32177-3895
Phone: (386) 312-0022
Fax: (386) 312-0535
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Amanda
Phone: (386) 312-0022

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1053305748
LBN Legal business name Southern Therapies Of North Florida Inc
DBA Doing business as Southern Therapy And Wellness Center
Authorized official Bennett, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2005
Last updated Aug 12th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053305748 NPPES
Florida MEDICAID 6762204-00
Florida MEDICAID 884914500

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