Earth Remedy Optimal Wellness Llc

LBN: Earth Remedy Optimal Wellness Llc
Earth Remedy Optimal Wellness Llc is an health care organization with primary practice located at 417 Greenlee Rd , Johnson City TN 37601-7064. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Suppliers / Customized Equipment. Other Service Providers / Community Health Worker is the primary health care specialty. Earth Remedy Optimal Wellness Llc can be contacted via phone (423) 302-0205, or through Short, Ubunibi-Afia Agbenyaga via phone (423) 880-3621.

Contact Information

Primary practice address
417 Greenlee Rd Johnson City TN 37601-7064
Phone: (423) 302-0205
Fax: (423) 220-8582
Website:
Map and Directions
Authorized official contact:
Name: Short, Ubunibi-Afia Agbenyaga DIVINE
Phone: (423) 880-3621

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1043092257
LBN Legal business name Earth Remedy Optimal Wellness Llc
DBA Doing business as
Authorized official Short, Ubunibi-Afia Agbenyaga DIVINE
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2023
Last updated Oct 23rd, 2023 - about 3 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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