Grow The Vine Speech & Wellness Gym

LBN: Core Training Services Llc
Grow The Vine Speech & Wellness Gym is an health care organization with primary practice located at 527 Poppell Dr , Lakeland FL 33813-1139. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Core Training Services Llc can be contacted via phone (863) 712-6030, or through Barrientes, Julie L via phone (863) 712-6030.

Contact Information

Primary practice address
527 Poppell Dr Lakeland FL 33813-1139
Phone: (863) 712-6030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barrientes, Julie L M.S., CCC-SLP
Phone: (863) 712-6030

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1104379304
LBN Legal business name Core Training Services Llc
DBA Doing business as Grow The Vine Speech & Wellness Gym
Authorized official Barrientes, Julie L M.S., CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2016
Last updated Feb 21st, 2020 - about 6 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 1104379304 NPPES
Florida MEDICAID 887352600
Florida MEDICAID 102011900

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