Wickshire Port Orange Opco Llc

LBN: Wickshire Port Orange Opco Llc
Wickshire Port Orange Opco Llc is an health care organization with primary practice located at 1675 Dunlawton Ave , Port Orange FL 32127-4755. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Wickshire Port Orange Opco Llc can be contacted via phone (386) 761-1055, or through O'Keefe, Dan via phone (615) 942-0240.

Contact Information

Primary practice address
1675 Dunlawton Ave Port Orange FL 32127-4755
Phone: (386) 761-1055
Fax:
Website:
Map and Directions
Authorized official contact:
Name: O'Keefe, Dan
Phone: (615) 942-0240

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X

Profile Details

NPI number 1023616943
LBN Legal business name Wickshire Port Orange Opco Llc
DBA Doing business as
Authorized official O'Keefe, Dan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2020
Last updated Oct 13th, 2020 - about 4 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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