<Unavail>

LBN: A .L. Pantages Inc.
<Unavail> is an health care organization with primary practice located at 1321 Ridgewood Ave , Holly Hill FL 32117-2319. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. A .L. Pantages Inc. can be contacted via phone (386) 673-3255, or through Pantages, Amy Lou via phone (386) 673-3255.

Contact Information

Primary practice address
1321 Ridgewood Ave Holly Hill FL 32117-2319
Phone: (386) 673-3255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pantages, Amy Lou
Phone: (386) 673-3255

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X AD8854 Florida

Profile Details

NPI number 1487893095
LBN Legal business name A .L. Pantages Inc.
DBA Doing business as <Unavail>
Authorized official Pantages, Amy Lou
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2009
Last updated Feb 5th, 2009 - about 17 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 1487893095 NPPES
Florida MEDICAID 675582896
Florida MEDICAID 675582898
Florida MEDICAID 675582800

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