I360 Life Development, Llc

LBN: I360 Life Development, Llc
I360 Life Development, Llc is an health care organization with primary practice located at 6600 Lbj Fwy Ste 240 , Dallas TX 75240-6550. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. I360 Life Development, Llc can be contacted via phone (214) 533-5640, or through Jensen, Desi via phone (469) 422-1262.

Contact Information

Primary practice address
6600 Lbj Fwy Ste 240 Dallas TX 75240-6550
Phone: (214) 533-5640
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Desi
Phone: (469) 422-1262

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1134685993
LBN Legal business name I360 Life Development, Llc
DBA Doing business as
Authorized official Jensen, Desi
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2019
Last updated Feb 18th, 2019 - about 7 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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