Supreme Care Wellness Group Llc

LBN: Supreme Care Wellness Group Llc
Supreme Care Wellness Group Llc is an health care organization with primary practice located at 1736 Nw Cataluna Cir , Port Saint Lucie FL 34986-5800. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Supreme Care Wellness Group Llc can be contacted via phone (561) 449-3147, or through Tillman, Jacolby via phone (561) 449-3147.

Contact Information

Primary practice address
1736 Nw Cataluna Cir Port Saint Lucie FL 34986-5800
Phone: (561) 449-3147
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tillman, Jacolby
Phone: (561) 449-3147

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1497453948
LBN Legal business name Supreme Care Wellness Group Llc
DBA Doing business as
Authorized official Tillman, Jacolby
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2023
Last updated Feb 22nd, 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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